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DR. PETER CUMMINS DYKE II M.D.
NPI 1346371143
Pediatrics - Pediatric Cardiology in Columbia, MO

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
500 N KEENE ST, SUITE 207, COLUMBIA, MO 65201(573) 219-3960(573) 219-3964 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2023, Sep 14, 2022 (2 updates tracked since 2022).

About Dr. Peter Cummins Dyke Ii M.d. NPPES

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

DR. PETER CUMMINS DYKE II M.D. (NPI 1346371143) is an individual pediatric cardiology provider in Columbia, Missouri, licensed in Missouri (2010021890) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1346371143
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. PETER CUMMINS DYKE IICredential: M.D.
Location Address500 N KEENE ST, SUITE 207Columbia, MO 65201-8370
Mailing AddressPo Box 7687Columbia, MO 65205-7687 · (573) 882-2259
Phone(573) 219-3960
Fax(573) 219-3964
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1346371143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in MO · 2010021890✔ Licensed in ID · M-16980✔ Licensed in WI · 50124-020
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
500 N KEENE ST, Columbia, MO 65201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1520 S Eagle Rd Ste 2204Meridian, ID 83642-6351 · Phone (208) 336-9188

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

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. Peter Cummins Dyke Ii M.d. 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 ID8921199027
PECOS Enrollment IDI20230315001473
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Dyke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
1,252 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 20

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

JACOB BRADLEY MOORE
Optometrist
500 N KEENE ST, SUITE 103
COLUMBIA, MO 65201
Boone County (573) 874-2030
ROGER D. BONHAM M.D., P.C.
Ophthalmology
500 N KEENE ST, SUITE 101
COLUMBIA, MO 65201
Boone County (573) 449-3846
MRS. TAYLOR RAY JENNINGS FNP
Nurse Practitioner (Family)
500 N KEENE ST, STE 305
COLUMBIA, MO 65201
Boone County (573) 882-5673
DR. DAVID EDWARD DRAPER M.D.
Pediatrics (Pediatric Cardiology)
500 N KEENE ST, SUITE 207
COLUMBIA, MO 65201
Boone County (573) 219-3960
DR. RAYMOND TODD FOSTER SR. M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
500 N KEENE ST, SUITE 306
COLUMBIA, MO 65201
Boone County (573) 817-3165
COLUMBIA RETINA CLINIC, LTD.
Ophthalmology
500 N KEENE ST, SUITE 102
COLUMBIA, MO 65201
Boone County (573) 449-3846
HASSAN FARRA MD
Pediatrics (Pediatric Cardiology)
500 N KEENE ST, STE 207
COLUMBIA, MO 65201
Boone County (573) 219-3960
MILOT THAQI MD
Surgery
500 N KEENE ST, STE 305
COLUMBIA, MO 65201
Boone County (573) 882-5673

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 Peter Dyke's NPI number?

The NPI number for Peter Dyke is 1346371143. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Peter Dyke located?

Peter Dyke practices at 500 N Keene St Suite 207, Columbia, MO 65201. The listed phone number is (573) 219-3960.

What is Peter Dyke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Peter Dyke enrolled in Medicare?

Yes. Peter Dyke 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 organization bills Medicare for Peter Dyke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Dyke reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). The 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 Peter Dyke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Dyke accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Peter Dyke 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 Peter Dyke affiliated with any hospitals?

According to CMS data, Peter Dyke is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Dyke was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.