DR. MICHAEL REIDAR DYBDAL-HARGREAVES MD
NPI 1487235040
Family Medicine - Sports Medicine in San Antonio, TX

Q: What is Michael Dybdal-hargreaves's NPI number?

The NPI number for Michael Dybdal-hargreaves is 1487235040. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Michael Dybdal-hargreaves's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

8210 CALLAGHAN RD, SAN ANTONIO, TX 78230(210) 233-7000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, May 5, 2021, Apr 15, 2021 (3 updates tracked since 2021).

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About Dr. Michael Reidar Dybdal-hargreaves Md NPPES

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

DR. MICHAEL REIDAR DYBDAL-HARGREAVES MD (NPI 1487235040) is an individual sports medicine provider in San Antonio, Texas, licensed in Texas (V9301) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baytown, and is a graduate of University Of Texas Medical School At San Antonio (2021).

NPPES Registry Identity

NPI1487235040

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. MICHAEL REIDAR DYBDAL-HARGREAVESCredential: MD

Location Address8210 CALLAGHAN RDSan Antonio, TX 78230-4775

Mailing Address8210 Callaghan RdSan Antonio, TX 78230-4775

Phone(210) 233-7000

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2021

Enumeration DateApril 15, 2021

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1487235040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · V9301

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8210 CALLAGHAN RD, San Antonio, TX 78230

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Secondary Practice Location 1

Location 14301 Garth Rd Ste 400Baytown, TX 77521-3159 · Phone (832) 548-5151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Dr. Michael Reidar Dybdal-hargreaves 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.

PECOS PAC ID2860990561

PECOS Enrollment IDI20250812002205

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 78230 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 17

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

NATALIE EBROM RDN

Dietitian, Registered