Individual provider Active NPI

Dustin Craig Buller, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • East Stroudsburg, PA
National Provider Identifier
1982165791
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD490425 Issued in PA
Practice address
600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone
(570) 421-7020
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A194915 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD490425 PA Primary

Addresses

Primary practice location

600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263

Mailing address

600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020

Other practice location 1

120 Burrus Blvd Ste 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020

Other practice location 2

100 Community Dr Ste 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020

Other practice location 3

100 Wheatfield Dr Ste 2
Milford, PA 18337-7699
Phone (570) 421-7020

Other names 1

  • Dr. Dustin Buller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240731004193 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2567792096 Reassigns benefits to 1 organization
I20250721000653 PA Practitioner - Sports Medicine 2567792096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valley Orthopedics PCGroup PAC ID 6901899111, 20 clinicians

Practice addresses (Care Compare)

600 Plaza CT
Suite C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020

Hospital & facility affiliations

  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194915CAMDOrthopaedic Surgery Physician
MD490425PAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2024 Accepting new patients
Mountain Valley Orthopedics, P.C. Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Mountain Valley Orthopedics PC PastSince Sep 1, 2025 Accepting new patients

Locations

2400 E Katella Ave
Ste 400
Anaheim, CA 92806
Phone (714) 712-9222

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

6801 Park Ter
#140400
Los Angeles, CA 90045

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

120 Burrus Blvd
Ste 120
Brodheadsville, PA 18322
Phone (570) 421-7020

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

100 Wheatfield Dr
Ste 2
Milford, PA 18337
Phone (570) 421-7020

100 Community Dr
Ste 210
Tobyhanna, PA 18466
Phone (570) 421-7020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dustin.buller.1@9299.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1982165791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-421-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-421-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Burrus Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Brodheadsville",
            "state": "PA",
            "postal_code": "183227812",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Community Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tobyhanna",
            "state": "PA",
            "postal_code": "184668987",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wheatfield Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377699",
            "country_code": "US",
            "telephone_number": "570-421-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLER",
        "first_name": "DUSTIN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A194915",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD490425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "BULLER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.