GARY T. DYKSTRA D.O.
NPI 1033172192
Internal Medicine - Cardiovascular Disease in Bartlesville, OK

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
91.24/100
CMS Quality Rating
3400 SE FRANK PHILLIPS #502, BARTLESVILLE, OK 74006(918) 331-2577(918) 331-2513 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary T. Dykstra D.o. NPPES

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

GARY T. DYKSTRA D.O. (NPI 1033172192) is an individual cardiovascular disease provider in Bartlesville, Oklahoma, licensed in Oklahoma (3077) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Labette Health, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1981).

NPPES Registry Identity

NPI1033172192
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGARY T. DYKSTRACredential: D.O.
Location Address3400 SE FRANK PHILLIPS #502Bartlesville, OK 74006
Mailing Address3400 Se Frank Phillips, Ste 502Bartlesville, OK 74006-2495 · (918) 331-2577 · Fax (918) 331-2513
Fax(918) 331-2513
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1981
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 4, 2011
NPI 1033172192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in OK · 3077 Licensed in KS · 0524469 Licensed in KS · 05-24469
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3400 SE FRANK PHILLIPS #502, Bartlesville, OK 74006

Other Identifiers 5

Medicaid101863KS
Medicare PIN$$$$$$$$$ROK
Medicare PIN100232630BKS
Medicare UPINF46373
Medicaid100106620AOK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gary T. Dykstra D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012999444
PECOS Enrollment IDI20110103000547, I20111219000876
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
470 services416 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
452 services322 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
427 services345 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
202 services25 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
180 services113 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
148 services147 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Labette Health

Acute Care Hospitals · Parsons, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170120
Location1902 South Us Hwy 59Parsons, KS 67357 · Labette County
Emergency services Birthing friendly

Wilson Medical Center

Critical Access Hospitals · Neodesha, KS
OwnershipGovernment - Local
CMS Certification Number171344
Location2600 Ottawa RoadNeodesha, KS 66757 · Wilson County
Emergency services

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74006 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$41.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers26 claims26 services$110.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers21 claims50 services$41.64 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims27 services$16.88 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$60.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers22 claims22 services$22.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gary Dykstra's NPI number?

The NPI number for Gary Dykstra is 1033172192. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Gary Dykstra located?

Gary Dykstra practices at 3400 SE Frank Phillips #502, Bartlesville, OK 74006. The listed phone number is (918) 331-2577.

What is Gary Dykstra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gary Dykstra enrolled in Medicare?

Yes. Gary Dykstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gary Dykstra accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Gary Dykstra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gary Dykstra affiliated with any hospitals?

According to CMS data, Gary Dykstra is affiliated with Labette Health, Wilson Medical Center, Ascension St John Jane Phillips and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Gary Dykstra was last updated on November 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.