Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205178399 Individual Practitioner Male Practitioner

Dustin Blake Porter

Surgery • Burley, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dustin Porter is a certified Surgery practicing in Burley, ID. With approximately 8 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2018, Dustin Porter delivers high-quality medical care to the local community at 1501 HILAND AVE STE H.

Dustin Porter is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Hiland Ave Ste H

Burley, ID 833182688

Telephone 2086776082
Associated Practice Facility / Clinic
🏢 Garfield County Facility NPI 1508836867

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Burley, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Burley, ID (187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (8 Years) 8 Yrs
Burley Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 12 $91.66 $32.39

Medical Specialties & State Licenses

CMS Verified: 2026-03-03
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M-14207

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1501 Hiland Ave, Burley, ID 833182688

Phone: 2086784444

Secondary Practice Locations

550 S Jackson St, Room A2j21

Louisville, KY 402021622

Phone: 5028526191

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brian Johnson , PA-C

Physician Assistant

NPI 1730994484

Physician Assistant (Certified)

NPI 1760876676

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 03, 2026

Registered at 1501 HILAND AVE STE H, BURLEY, ID 833182688 (Tel: 2086776082)

📍
Updated Business Mailing Address March 03, 2026

Registered at PO BOX 30180, SALT LAKE CITY, UT 841300180

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2013

Registered at 550 S JACKSON ST, ROOM A2J21, LOUISVILLE, KY 402021622 (Tel: 5028526191)

📍
Updated Business Mailing Address March 26, 2013

Registered at 550 S JACKSON ST, ROOM A2J21, LOUISVILLE, KY 402021622

👤
Provider Name / Credentials Updated March 26, 2013

Recorded as DUSTIN PORTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205178399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2013
Last Update: March 03, 2026
Sole Proprietor: No

Mailing Address

Po Box 30180

Salt Lake City, UT 841300180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.