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DR. PETER ALLEN DYSERT M.D.
NPI 1619903226
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
3600 GASTON AVE, WADLEY TOWER, SUITE 261, DALLAS, TX 75246(214) 818-9100(214) 818-9180 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter Allen Dysert M.d. NPPES

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

DR. PETER ALLEN DYSERT M.D. (NPI 1619903226) is an individual anatomic pathology & clinical pathology provider in Dallas, Texas, licensed in Texas (G0693) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1979).

NPPES Registry Identity

NPI1619903226
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. PETER ALLEN DYSERTCredential: M.D.
Location Address3600 GASTON AVE, WADLEY TOWER, SUITE 261Dallas, TX 75246-1800
Mailing Address3600 Gaston Ave, Barnett Tower, Suite 707Dallas, TX 75246-1800 · (214) 823-6492 · Fax (214) 818-9180
Phone(214) 818-9100
Fax(214) 818-9180
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1979
Enumeration DateJune 24, 2006
Last NPPES UpdateJuly 29, 2010
✔ NPI 1619903226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · G0693
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3600 GASTON AVE, Dallas, TX 75246
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified81P034TX
Medicare ID-Type Unspecified102278201TX
OtherB87655TX · Blue Cross Blue Shield
Medicare UPINB87655TX
OtherP00196146TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Allen Dysert 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 ID4789831272
PECOS Enrollment IDI20121205000069
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 Dysert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathologists Bio-Medical Laboratories PLLC
Same address
Anatomic Pathology & Clinical Pathology
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1265477707 (214) 818-9100

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 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

DR. MAMTA GUPTA MD
Internal Medicine
3600 GASTON AVE, SUITE 550
DALLAS, TX 75246
Dallas County (214) 821-8867
DR. ARIEL MARCELO MODRYKAMIEN M.D.
Internal Medicine (Pulmonary Disease)
3600 GASTON AVE, WADLEY TOWER, SUITE 960
DALLAS, TX 75246
Dallas County (402) 972-6078
SUSAN C. CHESIRE ANP
Nurse Practitioner (Adult Health)
3600 GASTON AVE, WADLEY TOWER, SUITE 651
DALLAS, TX 75246
Dallas County (214) 820-9115
DR. SADAT ANWAR SHAMIM M.D.
Psychiatry & Neurology (Neurology)
3600 GASTON AVE, SUITE 1155
DALLAS, TX 75246
Dallas County (214) 820-4688
KIMBER LEE FOUST MD
Internal Medicine (Critical Care Medicine)
3600 GASTON AVE, WADLEY TOWER STE 960
DALLAS, TX 75246
Dallas County (214) 820-5630
TEXAS SAM HOLDINGS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
3600 GASTON AVE, SUITE 1055
DALLAS, TX 75246
Dallas County (214) 827-0330
DR. CARLOS E VELASCO MD
Internal Medicine (Interventional Cardiology)
3600 GASTON AVE, SUITE 851
DALLAS, TX 75246
Dallas County (214) 826-6044
ROBERT LOUIS KOSTER M.D.
Internal Medicine
3600 GASTON AVE, SUITE 703
DALLAS, TX 75246
Dallas County (214) 823-4200

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 Dysert's NPI number?

The NPI number for Peter Dysert is 1619903226. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Peter Dysert located?

Peter Dysert practices at 3600 Gaston Ave Wadley Tower, Suite 261, Dallas, TX 75246. The listed phone number is (214) 818-9100.

What is Peter Dysert's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Peter Dysert enrolled in Medicare?

Yes. Peter Dysert 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 Dysert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Dysert reassigns Medicare benefits to Pathologists Bio-Medical Laboratories PLLC (Dallas, TX). 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 Dysert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Dysert accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Peter Dysert 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 Peter Dysert was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.