Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DUSTIN D HENEGAN PA
NPI 1497083455
Physician Assistant - Medical in Meadville, PA

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1012 WATER ST, MEADVILLE, PA 16335(814) 333-2001(814) 382-0872 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Mar 26, 2025, Jan 16, 2017 (3 updates tracked since 2017).

About Dustin D Henegan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN D HENEGAN PA (NPI 1497083455) is an individual medical provider in Meadville, Pennsylvania, licensed in Pennsylvania (MA054170) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497083455
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDUSTIN D HENEGANCredential: PA
Location Address1012 WATER STMeadville, PA 16335-3468
Mailing Address1012 Water StMeadville, PA 16335-3468 · (814) 333-2001 · Fax (814) 382-0872
Fax(814) 382-0872
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 2, 2009
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1497083455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA054170
1012 WATER ST, Meadville, PA 16335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin D Henegan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527101179
PECOS Enrollment IDI20100204000028
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1012 WATER ST
MEADVILLE, PA 16335
Clinical Medical Laboratory
1012 WATER ST
MEADVILLE, PA 16335
Nurse Practitioner (Family)
1012 WATER ST
MEADVILLE, PA 16335
Student in an Organized Health Care Education/Training Program
1012 WATER ST
MEADVILLE, PA 16335
Physical Therapist
1012 WATER ST
MEADVILLE, PA 16335
Physical Therapist
1012 WATER ST
MEADVILLE, PA 16335
Physical Therapist
1012 WATER ST
MEADVILLE, PA 16335
Physical Therapist
1012 WATER ST
MEADVILLE, PA 16335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Henegan's NPI number?

The NPI number for Dustin Henegan is 1497083455. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Dustin Henegan located?

Dustin Henegan practices at 1012 Water St, Meadville, PA 16335. The listed phone number is (814) 333-2001.

What is Dustin Henegan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dustin Henegan enrolled in Medicare?

Yes. Dustin Henegan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dustin Henegan was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.