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

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: November 01, 2026.

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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Van Dyke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Services Inc
0.8 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140
Epn Hamot Urgent Care LLC
4.9 mi
Family Medicine
7200 PEACH ST, UNIT 420
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 38 clinicians in this Medicare group
NPI 1518283753 (814) 860-3301

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

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.

Which organizations bill Medicare for Mark Van Dyke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Van Dyke reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Epn Hamot Urgent Care LLC (Erie, PA). 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 Mark Van Dyke'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 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.