Active NPI
Dustan C Osborn, MD, PHD
- Hematology & Oncology Physician
- Chehalis, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD00021486
- Practice address
- 1201 Bishop Rd
Chehalis, WA 98532-8711 - Phone
- (360) 345-1381
- Fax
- (360) 345-1382
- NPI assigned
- May 27, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00021486 | WA | |
| Medical Oncology Physician | 207RX0202X | MED-PHYS-LIC-109470 | MT | |
| Hematology & Oncology Physician | 207RH0003X | MD00021486 | WA | Primary |
Addresses
Primary practice location
1201 Bishop Rd
Chehalis, WA 98532-8711
Mailing address
1201 Bishop Rd
Chehalis, WA 98532-8711
Phone (360) 345-1381
Other practice location 1
350 Heritage Way Ste 1100
Kalispell, MT 59901-3160
Phone (406) 752-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011980 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DEPTLHRevIntegrityHIMTechs@logan.org | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, HI, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Dalhousie University, Faculty of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
Hospital & facility affiliations
- North Hawaii Community Hospital, Inc
- The Queens Medical Center
- Hilo Benioff Medical Center
- Kona Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-109470 | MT | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Hematology & Oncology | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Argus Oncology LLC | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- dosborn594542@direct.uvmhealth.org
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Oncology Clinic/Center
- Auburn, WA
- NPI 1326249541
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1528061132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BISHOP RD",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985328711",
"telephone_number": "360-345-1381",
"fax_number": "360-345-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BISHOP RD",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985328711",
"telephone_number": "360-345-1381",
"fax_number": "360-345-1382"
}
],
"practiceLocations": [
{
"address_1": "350 Heritage Way Ste 1100",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013160",
"country_code": "US",
"telephone_number": "406-752-8900",
"fax_number": "406-752-8909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORN",
"first_name": "DUSTAN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00021486",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MT",
"license": "MED-PHYS-LIC-109470",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00021486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011980",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DEPTLHRevIntegrityHIMTechs@logan.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "350 Heritage Way Ste 1100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.