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DR. DYLAN L BELLAVANCE DO
NPI 1013414507
Family Medicine in Larkspur, CA

Active since April 10, 2018PECOS Enrolled
5 BON AIR RD STE 117, LARKSPUR, CA 94939(415) 448-1500 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 8, 2021, Apr 10, 2018 (3 updates tracked since 2018).

About Dr. Dylan L Bellavance Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DYLAN L BELLAVANCE DO (NPI 1013414507) is an individual family medicine provider in Larkspur, California, licensed in California (20A19053) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of Texas At Austin Dell Medical School (2018).

NPPES Registry Identity

NPI1013414507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DYLAN L BELLAVANCECredential: DO
Location Address5 BON AIR RD STE 117Larkspur, CA 94939-1138
Mailing Address5 Bon Air Rd Ste 117Larkspur, CA 94939-1138 · (415) 448-1500
Phone(415) 448-1500
Sole ProprietorNo
Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1013414507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A19053
Definition
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.
5 BON AIR RD STE 117, Larkspur, CA 94939
Open in Google Maps ↗

Secondary Practice Location 1

Location 12355 Market StSan Francisco, CA 94114-1617 · Phone (888) 663-6331 · Fax (415) 252-7176

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dylan L Bellavance Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557768363
PECOS Enrollment IDI20250915003863
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALARIC K AKASHI MD
Internal Medicine
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
OANA L. KLEIN MD
Internal Medicine
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
MYKAELA POE
Physician Assistant
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500
MARIN COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
5 BON AIR RD STE 117
LARKSPUR, CA 94939
Marin County (415) 448-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Bellavance's NPI number?

The NPI number for Dylan Bellavance is 1013414507. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Dylan Bellavance located?

Dylan Bellavance practices at 5 Bon Air Rd Ste 117, Larkspur, CA 94939. The listed phone number is (415) 448-1500.

What is Dylan Bellavance's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dylan Bellavance enrolled in Medicare?

Yes. Dylan Bellavance is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Bellavance was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.