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DR. JOHN G DYSTER M.D.
NPI 1952309163
Family Medicine in Niagara Falls, NY

Active since July 12, 2005PECOS Enrolled
4600 MILITARY RD STE A, NIAGARA FALLS, NY 14305(716) 298-4050(716) 298-4098 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2019, Mar 18, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. John G Dyster M.d. NPPES

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

DR. JOHN G DYSTER M.D. (NPI 1952309163) is an individual family medicine provider in Niagara Falls, New York, licensed in New York (166794) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952309163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN G DYSTERCredential: M.D.
Location Address4600 MILITARY RD STE ANiagara Falls, NY 14305-1338
Mailing Address4600 Military Rd Ste ANiagara Falls, NY 14305-1338 · (716) 298-4050 · Fax (716) 298-4098
Phone(716) 298-4050
Fax(716) 298-4098
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateOctober 1, 20194 updates tracked since enumeration
✔ NPI 1952309163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 166794
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.
4600 MILITARY RD STE A, Niagara Falls, NY 14305
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Other Identifiers 1

Medicaid01023394NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John G Dyster M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show John Dyster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Niagara Falls Memorial Medical Center
3.3 mi
General Acute Care Hospital
621 10TH ST
Niagara Falls, NY 14302
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982659256 (New York)
  • 156 clinicians in this Medicare group
NPI 1285717298 (716) 278-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14305 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

DR. JENNIFER EARSING NP
Nurse Practitioner (Adult Health)
4600 MILITARY RD STE A
NIAGARA FALLS, NY 14305
Niagara County (716) 298-4050

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 John Dyster's NPI number?

The NPI number for John Dyster is 1952309163. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is John Dyster located?

John Dyster practices at 4600 Military Rd Ste A, Niagara Falls, NY 14305. The listed phone number is (716) 298-4050.

What is John Dyster's specialty?

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

Is John Dyster enrolled in Medicare?

Yes. John Dyster is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Dyster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dyster reassigns Medicare benefits to Niagara Falls Memorial Medical Center (Niagara Falls, NY). The 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 John Dyster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Dyster was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.