EVAN DITTMAR
NPI 1649851726
Family Medicine in Dallas, TX

Q: What is Evan Dittmar's NPI number?

The NPI number for Evan Dittmar is 1649851726. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Evan Dittmar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Dittmar was last updated on July 2, 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.

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, Apr 20, 2021 (2 updates tracked since 2021).

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About Evan Dittmar NPPES

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

EVAN DITTMAR (NPI 1649851726) is an individual family medicine provider in Dallas, Texas, licensed in Texas (U8047) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2021).

NPPES Registry Identity

NPI1649851726

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEVAN DITTMAR

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201

Phone(214) 648-3111

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2021

Enumeration DateApril 20, 2021

Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1649851726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · U8047

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.

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

5323 HARRY HINES BLVD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Evan Dittmar 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 ID1951849108

PECOS Enrollment IDI20240819002997

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.

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant