DUSTIN W BOGAN PA-C
NPI 1790220341
Physician Assistant in Charlottesville, VA

Q: What is Dustin Bogan's NPI number?

The NPI number for Dustin Bogan is 1790220341. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Q: What is Dustin Bogan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dustin Bogan was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since January 05, 2017PECOS Enrolled

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-8184 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dustin W Bogan Pa-c NPPES

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

DUSTIN W BOGAN PA-C (NPI 1790220341) is an individual physician assistant in Charlottesville, Virginia, licensed in Virginia (0110005643) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790220341

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDUSTIN W BOGANCredential: PA-C

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000

Phone(434) 924-8184

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 5, 2017

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1790220341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110005643

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110005643 (VA)

1204 W MAIN ST, Charlottesville, VA 22903

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin W Bogan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971997370

PECOS Enrollment IDI20260413003444

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 22903 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 20

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

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