DR. JOHN M DYSART MD
NPI 1265425177
Pediatrics - Pediatric Cardiology in Lansing, MI
About Dr. John M Dysart Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN M DYSART MD (NPI 1265425177) is an individual pediatric cardiology provider in Lansing, Michigan, licensed in Michigan (JD063672) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John M Dysart Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Dysart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 405 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANSING, MI 48910
LANSING, MI 48910
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 John Dysart's NPI number?
The NPI number for John Dysart is 1265425177. It was assigned to this individual provider in the NPPES registry on August 25, 2005.
Where is John Dysart located?
John Dysart practices at 3220 Discovery Drive Suite 210, Lansing, MI 48910. The listed phone number is (517) 484-0004.
What is John Dysart's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is John Dysart enrolled in Medicare?
Yes. John Dysart 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.
Which organizations bill Medicare for John Dysart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Dysart reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Dysart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Dysart was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. John M Dysart, MD · NPI 1265425177
Pediatric Cardiology physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since August 25, 2005.
## Identity
- **NPI:** 1265425177 (Entity type: Individual)
- **Enumerated:** August 25, 2005
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** JD063672 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3220 DISCOVERY DRIVE, SUITE 210, Lansing, MI 48910
- **Phone:** (517) 484-0004 · **Fax:** (517) 484-7241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1528374683, Grand Rapids, MI); Spectrum Health Hospitals (NPI 1558407189, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** June 1, 2026
- **Other identifiers:** Medicaid L3338287 (MI); Other 85305 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1265425177) · Data from the CMS NPPES public registry.