Dustin Davis, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD.0000883 Issued in CO

Practice address

1825 E Main St Ste a
Montrose, CO 81401-3848

Phone

(970) 240-3338

Fax

(970) 240-1541

NPI assigned

Jun 30, 2017

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan Foot and Ankle CenterGroup PAC ID 3971502329, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Regional Health Hospital, Montrose, CO, CCN 060006
• Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
• Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddavis@sjfaac-co.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• San Juan Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Montrose, CO
  • NPI 1578622502
  Medicare reassignment Care Compare group NPD

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

• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Care Compare affiliation
• Gunnison Valley Hospital

  dba Gunnison Valley Health Mountain Clinic

  • Urgent Care Clinic/Center
  • Crested Butte, CO
  • NPI 1134754153

  Hospital

  Care Compare affiliation
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048
  Care Compare affiliation
• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1598286379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E MAIN ST STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013848",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814164400",
            "country_code": "US",
            "telephone_number": "970-240-3338",
            "fax_number": "970-240-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DUSTIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000204074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Danner, LPC CACIII
• Jodi Lynn Darnall
• Darrin Green MD PC
• David M. Good, M.D., P. C.
• Anna T Davidson, LPC
• Robert D. Davis Jr., D.C.
• Eugene E Dawson Jr., PHD
• Jackie Jakino Day, C.M.T
• Mary Christine Dean, RPH
• Theresa Danielle Deloury, BA

• Foot & Ankle Surgery Podiatrist in Montrose, CO
• Providers in Montrose, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.