DR. DUSTIN WAILES M.D.
NPI 1689061400
Anesthesiology in Kettering, OH
About Dr. Dustin Wailes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DUSTIN WAILES M.D. (NPI 1689061400) is an individual anesthesiology provider in Kettering, Ohio, licensed in Ohio (35.139259) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dustin Wailes M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dustin Wailes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Perris, CA 92571
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 269 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KETTERING, OH 45429
KETTERING, OH 45429
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 Wailes's NPI number?
The NPI number for Dustin Wailes is 1689061400. It was assigned to this individual provider in the NPPES registry on April 20, 2015.
Where is Dustin Wailes located?
Dustin Wailes practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 293-8228.
What is Dustin Wailes's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Dustin Wailes enrolled in Medicare?
Yes. Dustin Wailes 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.
Which organizations bill Medicare for Dustin Wailes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Wailes reassigns Medicare benefits to 2 organizations: Knd Development 59 LLC (Perris, CA) and Anesthesia Service Medical Group (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Wailes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dustin Wailes was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Dustin Wailes, M.D. · NPI 1689061400
Anesthesiology physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1689061400 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 35.139259 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 293-8228 · **Fax:** (937) 293-8229
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Knd Development 59 LLC (NPI 1356646400, Perris, CA); Anesthesia Service Medical Group (NPI 1053354233, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** June 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689061400) · Data from the CMS NPPES public registry.