Dustin John Fanciullo, M.D.
Vascular Surgery Physician · Salt Lake City, UT
Dustin John Fanciullo, M.D. is a vascular surgery physician with a practice address in Salt Lake City, Utah, and NPI 1013164052, issued on Aug 21, 2008. Check the license (Utah 14267138-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Dustin John Fanciullo
- Credential
- M.D.
- Primary taxonomy
- Vascular Surgery Physician 2086S0129X
- License number
- 14267138-1205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124
- Phone
- (801) 262-2806
- Enumerated
- Aug 21, 2008
- Record last updated
- Mar 2, 2026
- Medicare enrollment
- Enrolled (PECOS I20260227003634); accepts Medicare assignment
- Medical or professional school
- University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 2004
- Entity
- Type 1 · individual
8 nearest vascular surgery physician records → All 36 in Utah → Look up another NPI →
Also registered at 1160 E 3900 S Ste 3100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Fritz Bech, MDVascular Surgery Physician1831287242
- Colleen Gowans, NP-CNurse Practitioner1770170672
- Holly Ryan, M.D.Vascular Surgery Physician1730610015
Verify Dustin John Fanciullo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 14267138-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.3 times the Medicare Part D claims of the average vascular surgery physician in 2024
453 Medicare Part D claims for 124 beneficiaries, against an average of 201 among the 3,936 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 174 claims were for opioids.
Most prescribed
- Clopidogrel97 claims
- Hydrocodone-Acetaminophen70 claims
- Oxycodone-Acetaminophen50 claims
- Oxycodone Hcl37 claims
- Eliquis20 claims
- Cilostazol15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $122.89
2 payments; by number, the most common kind was food and beverage; the largest payer was Baxter Healthcare. The 4,059 providers of this specialty with any payment received $6,178.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
3 hospitals and group practices
- Canton-Potsdam HospitalPotsdam, NY · Acute Care Hospitals2 of 5 stars
- Clifton Springs Sanitarium COClifton Springs, NY
- Mountainstar Cardiovascular Services LLCSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Dustin John Fanciullo among 36 vascular surgery physician records in Utah
Dustin John Fanciullo, M.D. is one of 36 vascular surgery physician records with a practice address in Utah. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 56% of them.
- NPI issued2008 · 56% of these records are older, 33% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2004 · median 2002 among the 26 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0129X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Vascular Surgery Physician providers in Utah
There are 36 vascular surgery physician records in Utah.
All 36 in Utah → Every provider in Salt Lake City → Vascular Surgery Physician nationwide →
The 8 vascular surgery physician records with the nearest ZIP codes
- Fritz Bech, MDSalt Lake City, UT 841241831287242
- Holly Ryan, M.D.Salt Lake City, UT 841241730610015
- Steven Simper, MDSalt Lake City, UT 841241174617336
- Matthew Whitten, M.D.Murray, UT 841231215058011
- Benjamin Brooke, M.D., PH.D.Salt Lake City, UT 841321982754107
- Grant EricksonSalt Lake City, UT 841321235398645
- Daniel Kinikini, M.D.Salt Lake City, UT 841321043264070
- Larry Kraiss, MDSalt Lake City, UT 841321962592576
Common questions
What is Dustin John Fanciullo, M.D.'s NPI number?
Dustin John Fanciullo, M.D.'s National Provider Identifier (NPI) is 1013164052, issued on Aug 21, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Dustin John Fanciullo, M.D. located?
The NPPES record lists a practice address at 1160 E 3900 S Ste 3100, Salt Lake City, UT, 84124. Phone: (801) 262-2806. Providers update this record themselves, so call before visiting.
How can I verify Dustin John Fanciullo, M.D.'s license?
NPPES lists Utah license number 14267138-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Dustin John Fanciullo, M.D. prescribe under Medicare Part D?
In 2024, Dustin John Fanciullo, M.D. had 453 Medicare Part D claims for 124 beneficiaries; the average among vascular surgery physician prescribers was 201. Part D covers Medicare prescriptions only.
What is Dustin John Fanciullo, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
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.