DUSTIN TY STUART (PA-C) – Physician Assistant, NPI 1245576180

DUSTIN TY STUART (PA-C) is a healthcare provider. based in Fort campbell, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3834 (TN). The NPI Number for DUSTIN TY STUART (PA-C) is 1245576180

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN TY STUART (PA-C)
NPI
1245576180
Phone
(270) 798-8106
Address
650 Joel Drive
Enumeration Date
21 December 2012
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159418501
Graduation Year
2012 (14 years ago)
PAC ID
7012344922
Group Practice PAC ID
7315848140
Professional Enrollment ID
I20200304002929
Address ID
TN370133130AN5811XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for DUSTIN TY STUART (PA-C)

  • 650 Joel Drive

    Blanchfield Army Community Hospital

    Fort Campbell, KY 42223

    Phone: (270) 798-8106

    Type: Location

  • 1547 Warrior Dr Ste A

    Murfreesboro, TN 371280922

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 2222 State St Ste C

    Nashville, TN 372031869

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 320 New Shackle Island Rd

    Hendersonville, TN 370752312

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 40 W Caldwell St Ste 200

    MT Juliet, TN 371223179

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 405 Steam Plant Rd Ste 200

    Gallatin, TN 370663375

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 1642 Westgate Cir Ste 201

    Brentwood, TN 370278587

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 300 20th Ave N Ste 600

    Nashville, TN 372032143

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 5801 Crossings Blvd

    Antioch, TN 370133130

    Phone: (615) 941-8501

    Type: Location

  • 851 S Willow Ave Ste 112

    Cookeville, TN 385014222

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 3024 BUSINESS PARK CIR

    GOODLETTSVILLE, TN 370723132

    Phone: (615) 239-2018

    Type: Mailing

  • 776 WEATHERLY DR STE B

    CLARKSVILLE, TN 370438922

    Phone: (615) 941-8501

    Fax: (615) 941-8102

    Type: Location

  • 650 JOEL DRIVE

    BLANCHFIELD ARMY COMMUNITY HOSPITAL

    FORT CAMPBELL, KY 42223

    Phone: (270) 798-8106

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,277.

Total Amount is formed as General ($1,277) + Research ($0) + Ownership ($0) = $1,277.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($341).

Total Amount

$1,277

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2020-03-04

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
I20200304002929IPhysician AssistantTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes782160$0
99213Established patient office or other outpatient visit, 20-29 minutes524124$0
80307Testing for presence of drug, by chemistry analyzers347151$0
J1100Injection, dexamethasone sodium phosphate, 1 mg25929$0
J1885Injection, ketorolac tromethamine, per 15 mg12025$0
View full utilization report →

Insurance plans in this area (ZIP 42223)

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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: 7315848140View full group profile

Reviews

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Frequently asked questions

Can I verify DUSTIN TY STUART (PA-C) with an NPI only?
You can start verification with NPI 1245576180 for DUSTIN TY STUART (PA-C), then check state licensing separately.
Does CMS list DUSTIN TY STUART (PA-C) as active?
Yes — DUSTIN TY STUART (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes DUSTIN TY STUART (PA-C)?
For research purposes, treat DUSTIN TY STUART (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does DUSTIN TY STUART (PA-C) list a practice location?
Patients near Fort Campbell, Kentucky may find DUSTIN TY STUART (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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