DR. ANDREW THOMAS DUST (OD) – Optometrist, NPI 1790523488

DR. ANDREW THOMAS DUST (OD) is a healthcare provider. based in Carterville, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011866 (IL). The NPI Number for DR. ANDREW THOMAS DUST (OD) is 1790523488

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW THOMAS DUST (OD)
NPI
1790523488
Phone
(618) 942-5465
Address
PO BOX 550
Enumeration Date
17 July 2024
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6189425465
Graduation Year
2024 (2 years ago)
PAC ID
6305379819
Group Practice PAC ID
3274729033
Professional Enrollment ID
I20241023000038
Address ID
IL629483785HE3121XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. ANDREW THOMAS DUST (OD)

  • PO BOX 550

    CARTERVILLE, IL 629180550

    Phone: (618) 942-5465

    Fax: (618) 942-7042

    Type: Mailing

  • 3121 S PARK AVE

    HERRIN, IL 629483785

    Phone: (618) 942-5465

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Dompe US, Inc. ($125).

Total Amount

$202

General + Research + Ownership

Payments

5

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241023000038IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62918)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274729033View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What identifier follows DR. ANDREW THOMAS DUST (OD) across health systems?
The NPI 1790523488 uniquely identifies DR. ANDREW THOMAS DUST (OD) in U.S. healthcare data.
Should I treat DR. ANDREW THOMAS DUST (OD) as an active provider?
Patients and plans typically see DR. ANDREW THOMAS DUST (OD) as active in the national extract.
What type of care does DR. ANDREW THOMAS DUST (OD) provide?
DR. ANDREW THOMAS DUST (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ANDREW THOMAS DUST (OD) in Carterville, Illinois?
For routing, start with Carterville, Illinois for DR. ANDREW THOMAS DUST (OD), then verify phone and hours locally.
Who maintains DR. ANDREW THOMAS DUST (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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