MARK WILLIAM VAN DYKE DO
NPI 1407906613
Internal Medicine - Addiction Medicine in Erie, PA

Q: What is Mark Van Dyke's NPI number?

The NPI number for Mark Van Dyke is 1407906613. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Mark Van Dyke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Mark Van Dyke was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 11, 2007PECOS Enrolled

306 W 11TH ST 2ND FL, ERIE, PA 16501(814) 240-6216(814) 240-6219 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2018, Mar 27, 2018, Oct 19, 2016 and 1 more (4 updates tracked since 2016).

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About Mark William Van Dyke Do NPPES

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

MARK WILLIAM VAN DYKE DO (NPI 1407906613) is an individual addiction medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS006067E) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407906613

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameMARK WILLIAM VAN DYKECredential: DO

Location Address306 W 11TH ST 2ND FLErie, PA 16501-1705

Mailing Address306 W 11th St, 2nd FloorErie, PA 16501-1746 · (814) 240-6216 · Fax (814) 240-6219

Phone(814) 240-6216

Fax(814) 240-6219

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateApril 10, 20184 updates tracked since enumeration

✔ NPI 1407906613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in PA · OS006067E

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License OS006067E (PA)

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License OS006067E (PA)

306 W 11TH ST 2ND FL, Erie, PA 16501

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Other Identifiers 1

Medicaid0011147300006PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark William Van Dyke Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16501 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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 Mark Van Dyke's NPI number?

The NPI number for Mark Van Dyke is 1407906613. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Mark Van Dyke located?

Mark Van Dyke practices at 306 W 11th St 2nd Fl, Erie, PA 16501. The listed phone number is (814) 240-6216.

What is Mark Van Dyke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Mark Van Dyke enrolled in Medicare?

Yes. Mark Van Dyke is registered in the Medicare PECOS enrollment system.

What insurance does Mark Van Dyke accept?

Health plans from Providence Health Plan list Mark Van 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.

When was this NPI record last updated?

The NPPES record for Mark Van Dyke was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.