Individual provider Active NPI

Dustan C Osborn, MD, PHD

  • Hematology & Oncology Physician
  • Chehalis, WA
National Provider Identifier
1528061132
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00021486 Issued in WA
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

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1011980MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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, VT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220328001596 MT Practitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Medical Oncology 6305733684 Reassigns benefits to 1 organization
I20221110002252 HI Practitioner - Internal Medicine 6305733684 Reassigns benefits to 3 organizations
I20241030001352 VT Practitioner - Medical Oncology 6305733684 Reassigns benefits to 1 organization

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
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians
Queens North Hawaii Community HospitalGroup PAC ID 0143116293, 102 clinicians

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 Hospital, Kamuela, HI, CCN 120028
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
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

LicenseStateTypeSpecialty
MED-PHYS-LIC-109470MTMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Hematology & Oncology CurrentSince Dec 1, 2023 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Mar 6, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 28, 2022 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Oct 2, 2024 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Straub Clinic & Hospital CurrentSince Mar 6, 2023 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 28, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.