DYCUS FAMILY MEDICINE, PA
NPI 1629355532
Family Medicine in Oviedo, FL

Active since November 05, 2011CLIA 10D2032926 · Waiver
30 WINDSORMERE WAY, SUITE 100, OVIEDO, FL 32765(407) 706-6688(407) 706-6691 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dycus Family Medicine, Pa NPPES

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

DYCUS FAMILY MEDICINE, PA (NPI 1629355532) is a healthcare organization registered as a family medicine in Oviedo, Florida and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Richard Kerr Dycus, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1629355532
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDYCUS FAMILY MEDICINE, PA
Location Address30 WINDSORMERE WAY, SUITE 100Oviedo, FL 32765-6512
Mailing Address30 Windsormere Way, Suite 100Oviedo, FL 32765-6512 · (407) 706-6688 · Fax (407) 706-6691
Fax(407) 706-6691
Organization SubpartNo
Authorized OfficialRichard Kerr DycusOwner Operator · (407) 706-6688
Enumeration DateNovember 5, 2011
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1629355532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS0008481
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 WINDSORMERE WAY, Oviedo, FL 32765

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dycus Family Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120119000910Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dycus Family Medicine, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1487629523
30 WINDSORMERE WAY STE 100
Oviedo, FL 32765
(407) 706-6688
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2032926

Dycus Family Medicine PA · Oviedo, FL
Active · expires Nov 16, 2027
CLIA Number10D2032926
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorRichard K. Dycus II
Laboratory Phone(407) 706-6688
Laboratory LocationDycus Family Medicine PA30 Windsormere Way Ste 100, Oviedo, FL 32765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dycus Family Medicine, PA's NPI number?

The NPI number for Dycus Family Medicine, PA is 1629355532. It was assigned to this organization in the NPPES registry on November 5, 2011.

Where is Dycus Family Medicine, PA located?

Dycus Family Medicine, PA is located at 30 Windsormere Way Suite 100, Oviedo, FL 32765. The listed phone number is (407) 706-6688.

What is Dycus Family Medicine, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dycus Family Medicine, PA enrolled in Medicare?

Yes. Dycus Family Medicine, PA is registered in the Medicare PECOS enrollment system.

When is Dycus Family Medicine, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dycus Family Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dycus Family Medicine, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dycus Family Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2032926) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dycus Family Medicine, PA accept?

Health plans from AvMed list Dycus Family Medicine, PA 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 Dycus Family Medicine, PA was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.