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
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- 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
| Facility | Type | Role | Since |
|---|---|---|---|
| Benefis Hospitals Inc |
Hospital | Corporate Director | Jan 1, 2025 |
| Benefis Hospitals Inc |
Hospital | Corporate Director | Jan 1, 2025 |
| Benefis Senior Services |
Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Benefis Senior Services |
Skilled nursing facility | Corporate Director | Jan 1, 2025 |
| Peace Hospice of Montana |
Hospice | Corporate Director | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912000852 | MT | Practitioner - Emergency Medicine | 3476779158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49115 | MT | MD | Emergency Medicine Physician |
| OT014788 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dstuart19015@benefishs.direct-ci.com | Benefis Hospitals Inc |
NPI Registry JSON
{
"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
- Adria Marena Strable
- Mara Street
- Timothy N Street
- Anna Stremcha
- Holly C. Strong
- Rachael Raeann Stubbs
- Madalyn Marie Stucker
- Lorianne Stulc
- Vicki C Stull
- Jaclyn Suden
All providers in Great Falls, MT · Emergency Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.