GLEN E DUST (M.D.) – Family Medicine Physician, NPI 1477555738
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for GLEN E DUST (M.D.)
4965 E LOST BRIDGE RD
DECATUR, IL 625215139
Phone: (217) 864-5531
Type: Mailing
West Adams Street, Sullivan, Moultrie County, Illinois, 61951, United States
SULLIVAN, IL 619511943
Phone: (217) 728-7353
Fax: (217) 728-2580
Type: Mailing
1000 MEDICAL CENTER DR
MONTICELLO, IL 618562116
Phone: (217) 762-6241
Fax: (217) 762-1702
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $502.
Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($82).
Total Amount
$502
General + Research + Ownership
Payments
28
Total payment records
General Amount
$502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100901000604 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 237 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 214 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 108 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 19 | 14 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | IL | |
| Vascular Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Emergency Medicine | IL |
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