NPIMap

Individual provider Active NPI

Dustin K Devers, DO

  • Family Medicine Physician
  • Paintsville, KY
National Provider Identifier
1699989640
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03031 Issued in KY
Practice address
713 Broadway St
Suite 202
Paintsville, KY 41240-1465
Phone
(606) 789-6632
Fax
(606) 886-9908
NPI assigned
May 9, 2007
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03031 KY Primary

Addresses

Primary practice location

713 Broadway St
Suite 202
Paintsville, KY 41240-1465

Mailing address

230 Lexington Green Cir
Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Other identifiers 1

IdentifierTypeStateIssuer
7100016250MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddevers6568@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000908 KY Practitioner - HospitalistPractitioner - Family Practice 7214038538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Estill Medical Clinic, PSCGroup PAC ID 5597845255, 6 clinicians

Practice addresses (Care Compare)

103 Alycia Dr
Richmond, KY 40475-2368
Phone (859) 624-6515

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

275 Court St
Irvine, KY 40336-1089
Phone (606) 723-2167

295 Paint Lick Rd
Berea, KY 40403-8078
Phone (859) 985-2656

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

801 Eastern Bypass
Richmond, KY 40475-2751
Phone (859) 623-3131

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Estill Medical Clinic, PSC Family Medicine CurrentSince Feb 25, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 13, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2015 Accepting new patients
Berea Healthcare, LLC Past Accepting new patients
Berea Operations, LLC Past Accepting new patients
Arh Tug Valley Health Services, Inc. Past Accepting new patients

Locations

852 Ridgewood Dr
#A
Berea, KY 40403
Phone (859) 985-2656

96 Future Dr
Corbin, KY 40701

275 Court St
Irvine, KY 40336
Phone (606) 723-0044

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

789 Eastern Byp
Ste 5
Richmond, KY 40475
Phone (606) 623-9541

Interoperability endpoints

  • Direct secure messaging: ddevers6568@bhkydirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Telford TerraceRichmond, KY, CCN 185451 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Dec 1, 2022
Dec 1, 2022
Dec 1, 2022
The Terrace Nursing and Rehabilitation CenterBerea, KY, CCN 185103 Skilled nursing facility Adp of the SNF Jun 1, 2017
Berea Health and RehabilitationBerea, KY, CCN 185384 Skilled nursing facility Adp of the SNF Oct 1, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1699989640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR",
            "address_2": "STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BROADWAY ST",
            "address_2": "SUITE 202",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401465",
            "telephone_number": "606-789-6632",
            "fax_number": "606-886-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERS",
        "first_name": "DUSTIN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100016250",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddevers6568@bhkydirect.com",
            "affiliation": "N",
            "address_1": "852 Ridgewood Dr Ste A",
            "city": "Berea",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404039814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.