DUSTIN R FORD (PA-C) – Physician Assistant, NPI 1124378492

DUSTIN R FORD (PA-C) is a healthcare provider. based in Columbus, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.003576 (OH). The NPI Number for DUSTIN R FORD (PA-C) is 1124378492

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN R FORD (PA-C)
NPI
1124378492
Phone
(614) 545-7900
Address
170 TAYLOR STATION RD
Enumeration Date
14 September 2012
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0941459259
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20121002000291
Address ID
OH432154799CO393XXSTXX400

Contacts

Secure Messaging
dford39890@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for DUSTIN R FORD (PA-C)

  • 170 TAYLOR STATION RD

    COLUMBUS, OH 432134491

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Mailing

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone:

    Fax: (614) 544-6370

    Type: Mailing

  • 5150 E DUBLIN GRANVILLE RD STE 110

    COLUMBUS, OH 430818804

    Phone: (614) 775-9870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-10-02

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
I20121002000291IPhysician AssistantOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes4341$0
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1717$0
81003Automated urinalysis test1616$0
View full utilization report →

Insurance plans in this area (ZIP 43213)

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Provider's Procedures

DUSTIN R FORD (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH20610Aspiration and/or injection of large joint or joint capsule12649

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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What is the standard ID for DUSTIN R FORD (PA-C) in the U.S.?
In the U.S., DUSTIN R FORD (PA-C) is identified by NPI 1124378492.
Does the public listing show DUSTIN R FORD (PA-C) as active?
DUSTIN R FORD (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say DUSTIN R FORD (PA-C) does?
Insurance directories may phrase it differently, but here DUSTIN R FORD (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DUSTIN R FORD (PA-C)?
DUSTIN R FORD (PA-C) is associated with Columbus, Ohio in the same public data insurers reference.
Who maintains DUSTIN R FORD (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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