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DUSTIN JAMES
NPI 1952857872
Family Medicine in Flint, MI

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
401 S BALLENGER HWY, FLINT, MI 48532(810) 342-1038 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2020, Aug 31, 2016 (2 updates tracked since 2016).

About Dustin James NPPES

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

DUSTIN JAMES (NPI 1952857872) is an individual family medicine provider in Flint, Michigan, licensed in Michigan (5101025105) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952857872
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDUSTIN JAMES
Location Address401 S BALLENGER HWYFlint, MI 48532-3638
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638
Phone(810) 342-1038
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2016
Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration
✔ NPI 1952857872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101025105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101022878 (MI)
401 S BALLENGER HWY, Flint, MI 48532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Dustin James 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 ID2567758642
PECOS Enrollment IDI20200326000468
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 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.

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.
162 services96 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.
46 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims72 services$1.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$4.45 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers14 claims2,786 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$195.36 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers18 claims18 services$26.06 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 20

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

MR. DUNYUE LU M.D.
Psychiatry & Neurology (Psychiatry)
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-4419
REBECCA S MOODY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
PONGCHAYUT SURAPIPITH MD
Surgery
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-1000
NICOLE ELISE WESLEY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917
MARY ELLEN RINKS P.T.
Physical Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2362
MCLAREN FLINT
Hospitalist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
CATHERINE TALLEY
Occupational Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
BRENT ALLEN SCOTT CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917

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 James's NPI number?

The NPI number for Dustin James is 1952857872. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Dustin James located?

Dustin James practices at 401 S Ballenger Hwy, Flint, MI 48532. The listed phone number is (810) 342-1038.

What is Dustin James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dustin James enrolled in Medicare?

Yes. Dustin James 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 James accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Dustin James 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 James affiliated with any hospitals?

According to CMS data, Dustin James is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Dustin James was last updated on February 10, 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.