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Dr. John Anthony Dustman , MD

Orthopaedic Surgery โ€ข Bloomington, IL

Active NPI 1760498497 Individual Practitioner Male Practitioner
Practice location in NPPES

2502 E Empire St
Bloomington, IL 617043738

Call 3096636461 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2502 E Empire St

Bloomington, IL 617043738

Telephone 3096636461
Fax 3096635711
Organization at the Same NPPES Address or Phone
Laura C. Randolph Md Sc Facility NPI 1255527727

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $23,973 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

Paid by Medicare

About $14,861 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

30-day fills

122 standardized 30-day fills in 2022

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$323 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2022.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.86 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Dustman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Dustman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Dustman are from 2022.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Dustman are from 2022.

12 active clinicians are listed under Orthopaedic Surgery with a practice address in Bloomington, IL (997 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 12 clinicians have the CMS telehealth indicator.

66.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2021

Program year 2021 (payments made January 1 โ€“ December 31, 2021): fewer than 11 records totaling $20.86.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme Corporation
Food and Beverage
In-kind items and services
BRIDION General $20.86

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
73562 X-ray of knee, 3 views
94 88 $203.26 $41.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
54 23 $17.00 $1.11
73502 X-ray of hip, 2-3 views
44 41 $182.95 $40.51
20610 Aspiration and/or injection of fluid from large joint
42 29 $330.00 $63.95
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
41 30 $135.00 $88.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 39 $190.00 $124.89
73030 X-ray of shoulder, minimum of 2 views
33 30 $226.67 $33.84
73560 X-ray of knee, 1-2 views
27 24 $169.44 $30.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 23 $105.00 $54.95
73110 X-ray of wrist, minimum of 3 views
21 16 $185.00 $37.88
73130 X-ray of hand, minimum of 3 views
18 15 $195.56 $37.97
J1030 Injection, methylprednisolone acetate, 40 mg
18 12 $31.00 $5.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $205.00 $110.20
72100 X-ray of lower and sacral spine, 2-3 views
12 12 $200.00 $38.10

Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2022.

CMS Part D ยท Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 89 125 $124.46 31
Clindamycin Hcl Clindamycin Hcl 20 21 $40.43 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 13 78 $158.48 โ€”

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20101115000462

Enrollment State Jurisdiction

IL

PECOS Control ID

5395733679

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Lucas Armstrong , MD

Orthopaedic Surgery

NPI 1174783880

Doctor of Medicine (M.D.)

Richard Bauersfeld , PT

Physical Therapist

NPI 1912915208

Physical Therapist

Dr. Wendell Becton , MD

Family Medicine - Sports Medicine

NPI 1649237504

Doctor of Medicine (M.D.)

Nicholas Burke , PT

Physical Therapist

NPI 1508367590

Physical Therapist

NPI 1578162210

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1538686852

Physical Therapist, Doctor of Physical Therapy

Career & Practice History

NPI enumerated August 01, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1760498497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Bloomington

All Orthopaedic Surgery Specialists in Bloomington

Mailing Address

2502 E Empire St

Bloomington, IL 617043738

Phone: 3096636461

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.