DUSTIN MAX MCDERMOTT (M.D.) – Surgery Physician, NPI 1154387538

DUSTIN MAX MCDERMOTT (M.D.) is a healthcare provider. based in Longview, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 01060359A (IN). The NPI Number for DUSTIN MAX MCDERMOTT (M.D.) is 1154387538

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN MAX MCDERMOTT (M.D.)
NPI
1154387538
Phone
(903) 315-4400
Address
705 E Marshall Ave Ste 5000
Enumeration Date
25 April 2006
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
8123166519
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20120521000488
Address ID
TX752846098DAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for DUSTIN MAX MCDERMOTT (M.D.)

  • 705 E Marshall Ave Ste 5000

    Longview, TX 756015660

    Phone: (903) 315-4400

    Type: Location

  • 630 S Fleishel Ave

    Tyler, TX 757012041

    Phone: (903) 606-5560

    Type: Location

  • Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom

    LONGVIEW, TX 756064207

    Phone: (903) 315-2762

    Fax: (903) 315-2595

    Type: Mailing

  • East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States

    SUITE 3000

    LONGVIEW, TX 756015500

    Phone: (903) 315-2762

    Fax: (903) 315-2595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Enterra Medical, Inc. ($160).

Total Amount

$206

General + Research + Ownership

Payments

3

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2012-05-21

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
I20120521000488IGeneral SurgeryTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes6363$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4947$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4226$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3938$0
99214Established patient office or other outpatient visit, 30-39 minutes2926$0
View full utilization report →

Insurance plans in this area (ZIP 75601)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

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Frequently asked questions

Is there an official ID for DUSTIN MAX MCDERMOTT (M.D.) in U.S. healthcare records?
The official identifier for DUSTIN MAX MCDERMOTT (M.D.) is NPI 1154387538.
Is there an active status for DUSTIN MAX MCDERMOTT (M.D.)?
For scheduling context, DUSTIN MAX MCDERMOTT (M.D.) is shown as active in the registry.
What expertise is attributed to DUSTIN MAX MCDERMOTT (M.D.)?
DUSTIN MAX MCDERMOTT (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DUSTIN MAX MCDERMOTT (M.D.)?
Directory geography for DUSTIN MAX MCDERMOTT (M.D.) centers on Longview, Texas.
Does DUSTIN MAX MCDERMOTT (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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