NPIMap

Individual provider Active NPI

Dustin S Hambright, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1306130307
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
40692 Issued in SC
Practice address
851 Leonard Fulghum Dr Ste 101
Mount Pleasant, SC 29464-3793
Phone
(843) 971-9350
NPI assigned
Jun 7, 2011
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 2016011872 MO
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 40692 SC Primary

Addresses

Primary practice location

851 Leonard Fulghum Dr Ste 101
Mount Pleasant, SC 29464-3793

Mailing address

9100 Medcom St
N Charleston, SC 29406-9167
Phone (843) 414-6966

Other practice location 1

4921 Parkview Pl
Ste 6A/6B/12A
Saint Louis, MO 63110-1032
Phone (314) 747-2500

Other practice location 2

9100 Medcom St
N Charleston, SC 29406-9167
Phone (843) 414-6966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926003805 SC Practitioner - Orthopedic Surgery 1759549447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

851 Leonard Fulghum Dr
Suite 101
Mt Pleasant, SC 29464-3793
Phone (843) 971-9350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement42
Knee replacement47
Removal of tissue40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Oct 18, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Oct 18, 2024 Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center Adult Reconstructive Orthopaedic Surgery CurrentSince Aug 21, 2017 Accepting new patients
East Cooper Physician Group LLC Past Accepting new patients

Locations

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

Interoperability endpoints

  • Direct secure messaging: dustin.hambright.1@30548.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health East Cooper Medical CenterMount Pleasant, SC, CCN 420089 Hospital Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1306130307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 MEDCOM ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069167",
            "telephone_number": "843-414-6966",
            "fax_number": "843-764-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-971-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 6A/6B/12A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-747-2500",
            "fax_number": "314-747-2598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Medcom St",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069167",
            "country_code": "US",
            "telephone_number": "843-414-6966",
            "fax_number": "843-764-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRIGHT",
        "first_name": "DUSTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "2016011872",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "SC",
            "license": "40692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.