Dustin R Stuart, DO

Individual provider Active NPI Emergency Medicine Physician · Great Falls, MT

NPI 1316201429 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1316201429
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
49115 (MT)
Practice address
1401 25TH St S
Great Falls, MT 59405-5183
Phone
(406) 455-5200
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Owned or controlled facilities with NPI records 6

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

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100 (group)
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Benefis Hospitals Inc
Great Falls, MT · CCN 270012
Hospital Corporate Director Jan 1, 2025
Benefis Hospitals Inc
Great Falls, MT · CCN 27T012
Hospital Corporate Director Jan 1, 2025
Benefis Senior Services
Great Falls, MT · CCN 275012
Skilled nursing facility Corporate Director Jan 1, 2025
Benefis Senior Services
Great Falls, MT · CCN 275158
Skilled nursing facility Corporate Director Jan 1, 2025
Peace Hospice of Montana
Great Falls, MT · CCN 271507
Hospice Corporate Director Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160912000852 MT Practitioner - Emergency Medicine 3476779158 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
49115MTMDEmergency Medicine Physician
OT014788PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc Current
since Aug 1, 2016
Accepting new patients

Locations

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT014788 PA
Emergency Medicine Physician 207P00000X OT014788 PA
Emergency Medicine Physician 207P00000X 49115 MT Yes

Addresses

Primary practice location

1401 25TH St S
Great Falls, MT 59405-5183

Mailing address

308 Riverview 7 W
Great Falls, MT 59404-1316

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dstuart19015@benefishs.direct-ci.com Benefis Hospitals Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2024.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1316201429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RIVERVIEW 7 W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-455-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "DUSTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT014788",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT014788",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "49115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstuart19015@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

All providers in Great Falls, MT · Emergency Medicine Physician in Montana

Sources for this page

Verify at the official NPI Registry.