DR. TIMOTHY ALLEN VANDYNE DPM
NPI 1679579460
Podiatrist - Foot & Ankle Surgery in Fresno, CA

Active since June 26, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
5777 N FRESNO ST, SUITE 102, FRESNO, CA 93710(559) 435-0261(559) 435-1837 Get Directions Write a Review

NPPES record last updated: October 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Allen Vandyne Dpm NPPES

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

DR. TIMOTHY ALLEN VANDYNE DPM (NPI 1679579460) is an individual foot & ankle surgery provider in Fresno, California, licensed in California (E2025) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1976).

NPPES Registry Identity

NPI1679579460
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TIMOTHY ALLEN VANDYNECredential: DPM
Location Address5777 N FRESNO ST, SUITE 102Fresno, CA 93710-6065
Mailing Address5777 N Fresno St, Suite 102Fresno, CA 93710-6065 · (559) 435-0261 · Fax (559) 435-1837
Fax(559) 435-1837
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1976
Enumeration DateJune 26, 2005
Last NPPES UpdateOctober 8, 2011
NPI 1679579460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E2025
5777 N FRESNO ST, Fresno, CA 93710

Other Identifiers 1

Medicare UPINT11140CA

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. Timothy Allen Vandyne Dpm 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 ID6204096779
PECOS Enrollment IDI20120321000532
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,465 services402 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
235 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services107 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
134 services60 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
99 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
81 services81 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
5777 N FRESNO ST, SUITE 102
FRESNO, CA 93710
Dentist (General Practice)
5777 N FRESNO ST, STE 110
FRESNO, CA 93710
Clinic/Center (Podiatric)
5777 N FRESNO ST, SUITE 102
FRESNO, CA 93710

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 Timothy Vandyne's NPI number?

The NPI number for Timothy Vandyne is 1679579460. It was assigned to this individual provider in the NPPES registry on June 26, 2005.

Where is Timothy Vandyne located?

Timothy Vandyne practices at 5777 N Fresno St Suite 102, Fresno, CA 93710. The listed phone number is (559) 435-0261.

What is Timothy Vandyne's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Timothy Vandyne enrolled in Medicare?

Yes. Timothy Vandyne 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.

When was this NPI record last updated?

The NPPES record for Timothy Vandyne was last updated on October 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.