DR. DUSTIN PHILLIP GAY MD
NPI 1588845440
Orthopaedic Surgery in Dublin, GA

Active since November 20, 2007PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
100 MEDICAL DR, SUITE 200, DUBLIN, GA 31021(478) 274-8886(478) 274-8887 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Dustin Phillip Gay Md NPPES

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

DR. DUSTIN PHILLIP GAY MD (NPI 1588845440) is an individual orthopaedic surgery provider in Dublin, Georgia, licensed in Georgia (067937) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Washington County Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2005).

NPPES Registry Identity

NPI1588845440
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DUSTIN PHILLIP GAYCredential: MD
Location Address100 MEDICAL DR, SUITE 200Dublin, GA 31021-2559
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Fax(478) 274-8887
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateNovember 20, 2007
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
NPI 1588845440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 067937
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
100 MEDICAL DR, Dublin, GA 31021

Accepted Insurance

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

Dr. Dustin Phillip Gay Md 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 ID4880863109
PECOS Enrollment IDI20120904000130
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
2,640 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
903 services547 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
779 services492 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
733 services361 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
457 services356 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
297 services160 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Washington County Regional Medical Center

Acute Care Hospitals · Sandersville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110086
Location610 Sparta RoadSandersville, GA 31082 · Washington County
Emergency services

Dodge County Hospital

Acute Care Hospitals · Eastman, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110092
Location901 Griffin AveEastman, GA 31023 · Dodge County
Emergency services

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111302
Location145 Peacock StreetCochran, GA 31014 · Bleckley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.38
Promoting Interoperability80
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
4%912 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
64%87 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
55%6,125 patients2/55-star benchmark: 100%
e-Prescribing
94%672 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,698 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%37 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%3,164 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%5,854 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 5% · 2,431 patients
4%2,431 patients
Provide Patients Electronic Access to Their Health Information
51%1,292 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%63 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,775 patients
Patients totalRate: 1% · 1,775 patients
1%1,775 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers29 claims29 services$67.98 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
4 suppliers14 claims14 services$77.67 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier20 claims21 services$64.58 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$25.11 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.15 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers21 claims21 services$209.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery
100 MEDICAL DR, SUITE 200
DUBLIN, GA 31021
Internal Medicine (Pulmonary Disease)
100 MEDICAL DR
DUBLIN, GA 31021
Specialist
100 MEDICAL DR, SUITE 100 & 200
DUBLIN, GA 31021
Physician Assistant (Surgical)
100 MEDICAL DR, SUITE 200
DUBLIN, GA 31021
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 MEDICAL DR, SUITE 100
DUBLIN, GA 31021
Internal Medicine (Pulmonary Disease)
100 MEDICAL DR
DUBLIN, GA 31021

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 Gay's NPI number?

The NPI number for Dustin Gay is 1588845440. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Dustin Gay located?

Dustin Gay practices at 100 Medical Dr Suite 200, Dublin, GA 31021. The listed phone number is (478) 274-8886.

What is Dustin Gay's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dustin Gay enrolled in Medicare?

Yes. Dustin Gay 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.

What insurance does Dustin Gay accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dustin Gay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dustin Gay affiliated with any hospitals?

According to CMS data, Dustin Gay is affiliated with Washington County Regional Medical Center, Dodge County Hospital, Burke Medical Center, Fairview Park Hospital and Bleckley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Gay was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.