DR. PETER BERN VAN DYCK MD
NPI 1730275470
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Q: What is Peter Van Dyck's NPI number?

The NPI number for Peter Van Dyck is 1730275470. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Dr. Peter Bern Dyck MD.

Q: What is Peter Van Dyck's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Peter Van Dyck enrolled in Medicare?

No. Peter Van Dyck has opted out of Medicare through November 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Van Dyck was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 04, 2006Opted out of Medicare · through Nov 28, 2027

4601 LAKE BOONE TRL STE 1B, RALEIGH, NC 27607(919) 781-1800(919) 781-1899 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Peter Bern Van Dyck Md NPPES

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

DR. PETER BERN VAN DYCK MD (NPI 1730275470) is an individual psychiatry provider in Raleigh, North Carolina, licensed in North Carolina (27165) and active in the NPI registry since October 2006. He has opted out of Medicare through November 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730275470

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. PETER BERN VAN DYCKCredential: MD

Location Address4601 LAKE BOONE TRL STE 1BRaleigh, NC 27607-7503

Mailing AddressPo Box 80155Raleigh, NC 27623-0155 · (919) 781-1800 · Fax (919) 781-1899

Phone(919) 781-1800

Fax(919) 781-1899

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateApril 28, 2020

NPPES CertifiedApril 28, 2020

✔ NPI 1730275470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 27165

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4601 LAKE BOONE TRL STE 1B, Raleigh, NC 27607

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Peter Bern Dyck Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Peter Bern Van Dyck Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 28, 2013 through November 28, 2027.

Opt-Out Effective DateNovember 28, 2013

Opt-Out In Effect ThroughNovember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 5

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

PETER B. VAN DYCK, MD & ASSOCIATES, PA

Psychiatry & Neurology (Psychiatry)