NPIMap

Individual provider Active NPI

Dustin Eugene Hawley, MD

  • Family Medicine Physician
  • Borger, TX
National Provider Identifier
1831416015
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3723 Issued in TX
Practice address
104 N Bryan St
Borger, TX 79007-4010
Phone
(806) 274-3627
NPI assigned
Apr 27, 2010
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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 N3723 TX Primary

Addresses

Primary practice location

104 N Bryan St
Borger, TX 79007-4010

Mailing address

104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100722000679 TX Practitioner - Family Practice 3173655388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627

1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 354-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3723TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Family Medicine PA CurrentSince Oct 23, 2011 Accepting new patients
NWTX Physician Network, PLLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Apr 1, 2022 Accepting new patients
High Plains Family Medicine, PA Family Medicine CurrentSince Oct 23, 2011 Accepting new patients
NWTX Physician Network, PLLC PastSince Apr 20, 2021 Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

104 N Bryan St
Borger, TX 79007
Phone (806) 274-2986

Organizations & group practices 5

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 6

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1831416015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BRYAN ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074010",
            "telephone_number": "806-274-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N BRYAN ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074010",
            "telephone_number": "806-274-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "DUSTIN",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.