Kelly Dustin, DO
NPI 1114957362 · Family Medicine Physician · Rexburg, ID
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Dustin, DO is a Family Medicine Physician provider in Rexburg, ID (NPI 1114957362).
Provider details
- NPI number
- 1114957362
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-0459 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
259 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $82 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $118 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 42 | $9 |
| Hemoglobin A1c Level83036 | 30 | $10 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 23 | $119 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 80 | 19 |
| Omeprazole | 66 | 17 |
| Atorvastatin Calcium | 51 | 16 |
| Lisinopril | 49 | 18 |
| Metoprolol Succinate | 48 | 11 |
| Lisinopril/Hydrochlorothiazidebrand: Lisinopril-Hydrochlorothiazide | 46 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2019-11-19
Frequently asked questions
- What is Kelly Dustin's NPI number?
- Kelly Dustin's National Provider Identifier (NPI) is 1114957362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Dustin's specialty?
- Kelly Dustin is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Dustin located?
- Kelly Dustin's practice location on file with NPPES is 21 Winn Dr, Rexburg, ID 83440-5277.
- What is Kelly Dustin's phone number?
- The practice phone number listed in the NPPES registry for Kelly Dustin is (208) 881-5222.
- Does Kelly Dustin accept Medicare?
- Kelly Dustin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Dustin's NPI active?
- Yes — Kelly Dustin's NPI (1114957362) is active in the NPPES registry as of the last update on 2019-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.