Dustin Derstine, PAC
Physician Assistant · Lehighton, PA
Dustin Derstine, PAC is a physician assistant with a practice address in Lehighton, Pennsylvania, and NPI 1245056076, issued on Nov 26, 2024. Check the license (Pennsylvania MA066084, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dustin Derstine
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- MA066084 PA
Self-reported in NPPES; status is on the state search - Practice location
- 575 S 9TH St Ste 7, Lehighton, PA 18235
- Phone
- (570) 645-1000
- Enumerated
- Nov 26, 2024
- Record last updated
- Nov 26, 2024
- Medicare enrollment
- Enrolled (PECOS I20250117001410); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 575 S 9TH St Ste 7
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lindsay BalitzaNurse Practitioner1962967380
- Shannon Dereamus, CRNPNurse Practitioner1295491306
- Barbara Kocher, C.R.N.PNurse Practitioner1326034091
- Kelsey Siegfried, CRNPNurse Practitioner1598588972
Verify Dustin Derstine in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA066084Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 4 group practices
- St Luke's HospitalJim Thorpe, PA
- St. Luke's Hospital -Monroe CampusBrodheadsville, PA
- St. Luke's Quakertown HospitalQuakertown, PA
- The Carbon-Schuylkill Community Hospital, Inc.Coaldale, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
23 physician assistant records list a practice address in Lehighton
They are 23 of the 277 NPPES records with a practice address in Lehighton, and 8,020 physician assistant records in Pennsylvania.
All 23 in Lehighton → All 8,020 in Pennsylvania → Every provider in Lehighton →
Other physician assistant records in Pennsylvania
- Matthew AbadLansdowne, PA1720113350
- Ariane Abadi, PA-CPhiladelphia, PA1619641685
- Rama Abbireddy, PABethlehem, PA1912887555
- Marianne Abdalah, PASewickley, PA1346088473
- Donia Abdalla, MMSC, PA-CHarrisburg, PA1164376851
- Raneem Abdelaziz, PA-CQuakertown, PA1003764713
- Safiyya Abdul-Ghani, PAOaks, PA1689904161
- Lauren Abdul-Malak, PAAbington, PA1083196117
- Katherine Abel, PA-CSteelton, PA1972944437
- Mark Abel, PA-CSouth Abington Township, PA1710131610
Common questions
What is Dustin Derstine, PAC's NPI number?
Dustin Derstine, PAC's National Provider Identifier (NPI) is 1245056076, issued on Nov 26, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Dustin Derstine, PAC located?
The NPPES record lists a practice address at 575 S 9TH St Ste 7, Lehighton, PA, 18235. Phone: (570) 645-1000. Providers update this record themselves, so call before visiting.
How can I verify Dustin Derstine, PAC's license?
NPPES lists Pennsylvania license number MA066084, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.