Active NPI
Dustin Mathew Porter, M.D.
- Sports Medicine (Family Medicine) Physician
- Poteau, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 0101279209
- Practice address
- 109 Kerr Ave
Poteau, OK 74953-5270 - Phone
- (918) 649-1100
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25895 | NE | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0101279209 | VA | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 25895 | NE | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0101279209 | VA |
Addresses
Primary practice location
109 Kerr Ave
Poteau, OK 74953-5270
Mailing address
13271 Amblewood Dr
Manassas, VA 20112-7818
Phone (903) 508-9435
Other practice location 1
Santa Margarita Rd. BLDG H100 ATTN: Code 094
Camp Pendleton Naval Hospital
Camp Pendleton, CA 92055-5191
Phone (760) 725-1394
Other practice location 2
5801 Army Pentagon
Washington, DC 20310-5191
Phone (703) 692-8909
Other practice location 3
2500 Investigation Pkwy
Quantico, VA 22134-5173
Phone (571) 362-8561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391
3321 W Mercury Blvd
Hampton, VA 23666-3858
Phone (757) 224-0056
Hospital & facility affiliations
- Choctaw Nation Health Services Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101279209 | VA | MD | Family Medicine Physician |
| 25895 | NE | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients |
Locations
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Ave
Poteau, OK 74953
Phone (918) 647-1199
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Williamsburg, VA
- NPI 1255388021
-
- Primary Care Clinic/Center
- Stigler, OK
- NPI 1184690026
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1447482732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13271 AMBLEWOOD DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201127818",
"telephone_number": "903-508-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 KERR AVE",
"city": "POTEAU",
"state": "OK",
"postal_code": "749535270",
"telephone_number": "918-649-1100"
}
],
"practiceLocations": [
{
"address_1": "Santa Margarita Rd. BLDG H100 ATTN: Code 094",
"address_2": "Camp Pendleton Naval Hospital",
"address_purpose": "LOCATION",
"city": "Camp Pendleton",
"state": "CA",
"postal_code": "920555191",
"country_code": "US",
"telephone_number": "760-725-1394",
"fax_number": "760-725-1101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 Army Pentagon",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "203105191",
"country_code": "US",
"telephone_number": "703-692-8909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Investigation Pkwy",
"address_purpose": "LOCATION",
"city": "Quantico",
"state": "VA",
"postal_code": "221345173",
"country_code": "US",
"telephone_number": "571-362-8561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "DUSTIN",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "25895",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "VA",
"license": "0101279209",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NE",
"license": "25895",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101279209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.