DR. ANDREW J DYKSTERHOUSE M.D.
NPI 1831151596
Family Medicine in Belmont, NC

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
1220 SPRUCE ST, BELMONT, NC 28012(704) 825-5333(704) 825-1751 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew J Dyksterhouse M.d. NPPES

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

DR. ANDREW J DYKSTERHOUSE M.D. (NPI 1831151596) is an individual family medicine provider in Belmont, North Carolina, licensed in North Carolina (200300027) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2001).

NPPES Registry Identity

NPI1831151596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW J DYKSTERHOUSECredential: M.D.
Location Address1220 SPRUCE STBelmont, NC 28012-3370
Mailing Address1220 Spruce StBelmont, NC 28012-3370 · (704) 825-5333 · Fax (704) 825-1751
Fax(704) 825-1751
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2001
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 23, 2010
NPI 1831151596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 200300027
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.
1220 SPRUCE ST, Belmont, NC 28012

Other Identifiers 4

OtherP00393599NC · Railroad Medicare
Medicaid89137MHNC
Medicare UPINI49714NC
Medicare PIN2028501ANC

Accepted 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

Dr. Andrew J Dyksterhouse 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 ID2668433723
PECOS Enrollment IDI20041021000828
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 3

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 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.
111 services94 patients
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.
37 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28012 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers50 claims133 services$5.87 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers23 claims23 services$2.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers29 claims36 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$30.24 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims80 services$1.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$14.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Physician Assistant
1220 SPRUCE ST
BELMONT, NC 28012
Nurse Practitioner (Family)
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Physician Assistant
1220 SPRUCE ST
BELMONT, NC 28012

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 Andrew Dyksterhouse's NPI number?

The NPI number for Andrew Dyksterhouse is 1831151596. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Andrew Dyksterhouse located?

Andrew Dyksterhouse practices at 1220 Spruce St, Belmont, NC 28012. The listed phone number is (704) 825-5333.

What is Andrew Dyksterhouse's specialty?

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

Is Andrew Dyksterhouse enrolled in Medicare?

Yes. Andrew Dyksterhouse 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.

What insurance does Andrew Dyksterhouse accept?

Health plans from Blue Cross and Blue Shield of NC list Andrew Dyksterhouse 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 Andrew Dyksterhouse was last updated on February 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.