GLEN E DUST M.D. NPI 1477555738

NPI Information

  • NPI: 1477555738
  • Provider Name: GLEN E DUST, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 MEDICAL CENTER DR
    MONTICELLO, IL
    ZIP 61856
  • Phone: (217) 762-6241

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NPI Details

Glen E Dust, M.D. is a family medicine in Monticello, IL with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Glen E Dust, M.D. NPI is 1477555738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1981

The provider's business location address is:

1000 MEDICAL CENTER DR
MONTICELLO, IL
ZIP 61856-116
Phone: (217) 762-6241
Fax: (217) 762-1702

The NPI 1477555738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Automated urinalysis test (HCPCS:81003)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)

The enumeration date for this NPI number is 6/1/2005 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036068658ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10360686581MEDICAIDILLINOIS
2080027217OTHERILLINOISPALMETTO
30007000023OTHERILLINOISBCBS OF ILLINOIS
4182358OTHERILLINOISHEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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