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JASON P DYKSTRA MD
NPI 1578753489
Radiology - Diagnostic Radiology in Grand Rapids, MI

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
84.16/100
CMS Quality Rating
ADVANCED RADIOLOGY SERVICES P.C., 3264 N EVERGREEN DR, GRAND RAPIDS, MI 49525(616) 363-7339(616) 361-5828 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason P Dykstra Md NPPES

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

JASON P DYKSTRA MD (NPI 1578753489) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301084273) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of University Of Michigan Medical School (2004).

NPPES Registry Identity

NPI1578753489
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJASON P DYKSTRACredential: MD
Location AddressADVANCED RADIOLOGY SERVICES P.C., 3264 N EVERGREEN DRGrand Rapids, MI 49525-9746
Mailing AddressAdvanced Radiology Services P.c., 3264 N Evergreen DrGrand Rapids, MI 49525-9746 · (616) 363-7339 · Fax (616) 361-5828
Phone(616) 363-7339
Fax(616) 361-5828
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2004
Enumeration DateJuly 26, 2007
Last NPPES UpdateJuly 8, 2009
✔ NPI 1578753489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301084273
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
ADVANCED RADIOLOGY SERVICES P.C., Grand Rapids, MI 49525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Jason P Dykstra 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 ID7416007224
PECOS Enrollment IDI20090616000437, I20241024000080
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

3

Medicare enrollment records show Jason Dykstra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cira Michigan PC
206 mi
Diagnostic Radiology
3401 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1972141513 (906) 786-3311
Central Illinois Radiological Associates, Ltd.
257 mi
Diagnostic Radiology
530 NE GLEN OAK AVENUE
Peoria, IL 61637
  • Reassigned Medicare billing, Illinois enrollment
  • 176 clinicians in this Medicare group
NPI 1538192828 (309) 740-4272
Imaging Associates Of Michigan PLLC
263 mi
Diagnostic Radiology
850 W BARAGA AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
NPI 1164943007 (906) 214-2900

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
126 services126 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
126 services126 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
57 services57 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
57 services57 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
37 services37 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

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 Jason Dykstra's NPI number?

The NPI number for Jason Dykstra is 1578753489. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Jason Dykstra located?

Jason Dykstra practices at Advanced Radiology Services P.C. 3264 N Evergreen Dr, Grand Rapids, MI 49525. The listed phone number is (616) 363-7339.

What is Jason Dykstra's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jason Dykstra enrolled in Medicare?

Yes. Jason Dykstra 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 Jason Dykstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Dykstra reassigns Medicare benefits to 3 organizations: Cira Michigan PC (Escanaba, MI), Central Illinois Radiological Associates, Ltd. (Peoria, IL) and Imaging Associates Of Michigan PLLC (Marquette, 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 Jason Dykstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Dykstra accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jason Dykstra 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 Jason Dykstra affiliated with any hospitals?

According to CMS data, Jason Dykstra is affiliated with Saint James Hospital, St Joseph Medical Center and Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Dykstra was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.