Doctor profile · Federal record
Dr. Kelly Dustin, DO
Family Medicine Physician (CMS: Family Practice) · Student in an Organized Health Care Education/Training Program · Rexburg, ID
- NPI 1114957362
- Accepts Medicare
- 20 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
21 Winn Dr
Rexburg, ID 834405277
(208) 881-5222
fax (877) 441-4715 - Mailing address
-
794 Eastland Dr
Twin Falls, ID 833016856
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- November 19, 2019
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Idaho #O-0459 · Idaho #MR0875
- Medicaid
- ID #8035175
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114957362. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
279
Distinct HCPCS
7
Medicare allowed
$16,488
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 85 | 51 | $82 | |
36415 |
Insertion of needle into vein for collection of blood sample | 46 | 40 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 31 | $118 | |
83036 |
Hemoglobin a1c level | 38 | 28 | $10 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $119 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 26 | 25 | $13 | |
80053 |
Blood test, comprehensive group of blood chemicals | 14 | 14 | $10 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 68. This provider delivers 4.1× the peer median.Open Payments
Industry payments received
All-time total
$85
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, Inc. | 1 | $32.72 | |
| PFIZER INC. | 1 | $20.25 | |
| ABBVIE INC. | 1 | $15.90 | |
| Phathom Pharmaceuticals, Inc. | 1 | $15.73 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
565
Patients
77
Total drug cost
$7,285
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 98 | 25 | $1,536 |
| Atorvastatin Calcium | Generic | 54 | 18 | $976 |
| Omeprazole | Generic | 40 | 12 | $533 |
| Hydrochlorothiazide | Generic | 35 | 0 | $110 |
| Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) | Brand | 34 | 0 | $243 |
| Metoprolol Succinate | Generic | 34 | 0 | $773 |
| Gabapentin | Generic | 33 | 11 | $568 |
| Losartan Potassium | Generic | 33 | 0 | $528 |
| Lisinopril | Generic | 32 | 11 | $216 |
| Trazodone Hcl | Generic | 32 | 0 | $421 |
Frequently asked questions
What is Dr. Kelly Dustin's medical specialty?
Dr. Kelly Dustin practices Family Medicine Physician in Rexburg, ID.
Where does Dr. Kelly Dustin practice?
Dr. Kelly Dustin practices at 21 Winn Dr, Rexburg, ID 834405277. Office phone: 2088815222.
What is Dr. Kelly Dustin's NPI?
Dr. Kelly Dustin's National Provider Identifier (NPI) is 1114957362, issued by NPPES.
Does Dr. Kelly Dustin accept Medicare assignment?
Yes. Dr. Kelly Dustin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Dustin commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.