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DUSTIN K WETMORE PA-C
NPI 1710320437
Physician Assistant in Santa Rosa, CA

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
121 SOTOYOME ST STE 201, SANTA ROSA, CA 95405(707) 308-3101(707) 546-4062 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, Feb 8, 2021, Feb 21, 2019 and 2 more (5 updates tracked since 2016).

About Dustin K Wetmore Pa-c NPPES

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

DUSTIN K WETMORE PA-C (NPI 1710320437) is an individual physician assistant in Santa Rosa, California, licensed in California (PA22901) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710320437
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDUSTIN K WETMORECredential: PA-C
Location Address121 SOTOYOME ST STE 201Santa Rosa, CA 95405
Mailing AddressPo Box 5510Napa, CA 94581-0510 · (707) 252-9660 · Fax (707) 258-2780
Phone(707) 308-3101
Fax(707) 546-4062
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 11, 2013
Last NPPES UpdateNovember 11, 20215 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1710320437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA22901
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
121 SOTOYOME ST STE 201, Santa Rosa, CA 95405
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Secondary Practice Locations 2

Location 1501 Lighthouse AveMonterey, CA 93940-1439 · Phone (831) 649-0770 · Fax (831) 649-0142
Location 21165 Montgomery DrSanta Rosa, CA 95405-4801 · Phone (707) 303-1709 · Fax (707) 303-3912

Other Identifiers 1

OtherPA22901CA · Physician Assistant

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 K Wetmore Pa-c 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 ID941528434
PECOS Enrollment IDI20150413002515
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 4

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

ERIN DANIAL NP
Nurse Practitioner
121 SOTOYOME ST STE 201
SANTA ROSA, CA 95405
Sonoma County (707) 573-8984
BRETT J SCHULTE M.D.
Surgery
121 SOTOYOME ST STE 201
SANTA ROSA, CA 95405
Sonoma County (707) 579-2100
CHRISTOPHER ROBERTSON NYLAND MD
Family Medicine
121 SOTOYOME ST STE 201
SANTA ROSA, CA 95405
Sonoma County (707) 293-3845
KEAMIYAH NEISHELLE WALKER MSN, APRN,FNP-C
Nurse Practitioner (Family)
121 SOTOYOME ST STE 201
SANTA ROSA, CA 95405
Sonoma County (707) 293-3845

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 Wetmore's NPI number?

The NPI number for Dustin Wetmore is 1710320437. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Dustin Wetmore located?

Dustin Wetmore practices at 121 Sotoyome St Ste 201, Santa Rosa, CA 95405. The listed phone number is (707) 308-3101.

What is Dustin Wetmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dustin Wetmore enrolled in Medicare?

Yes. Dustin Wetmore 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 Wetmore was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.