Dustin Derstine, PAC
NPI 1245056076ActiveIndividual· Physician Assistant· Lehighton, PA
Physician Assistant (PAC) with St Luke's Hospital and 2 other groups, practicing in Lehighton, Pennsylvania. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1245056076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Nov 26, 2024 |
| Last updated in NPPES | Nov 26, 2024 |
| Certified by provider | Nov 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA066084 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St Luke's HospitalAllentown, PA · 98 clinicians
- The Carbon-Schuylkill Community Hospital, Inc.Coaldale, PA · 41 clinicians
- St. Luke's Quakertown HospitalQuakertown, PA · 35 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Lehighton
- 1740481522
- 1134709215
- 1144827999
- 1790836716
- 1255976395
- 1881410264
- 1063404564
- 1154307692
- 1992777536
- 1467288720
- 1295507952
- 1376374058