Gary T. Dykstra, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3077 Issued in OK

Practice address

3400 SE Frank Phillips #502
Bartlesville, OK 74006

Phone

(918) 331-2577

Fax

(918) 331-2513

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Oklahoma State University College of Osteopathic Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
• Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
• Labette Health Hospital, Parsons, KS, CCN 170120
• Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
• Wilson Medical Center Hospital, Neodesha, KS, CCN 171344

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as apm

Merit-based Incentive Payment System (MIPS)

Final score

77.82 of 100Reported as group

Quality

69.28

Promoting interoperability

100

Improvement activities

40

Cost

56.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gary.dykstra@direct.stjohnhealthsystem.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  KS

  Medicare reassignment Care Compare group
• Jane Phillips Memorial Medical Center Inc

  • Emergency Medicine Physician
  • Bartlesville, OK
  • NPI 1518092832
  NPD (past)
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation
• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Care Compare affiliation
• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Care Compare affiliation
• Labette County Medical Center

  • General Acute Care Hospital
  • Parsons, KS
  • NPI 1578560421
  Care Compare affiliation
• Wilson County Hospital

  • Critical Access Hospital
  • Neodesha, KS
  • NPI 1669441176
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1033172192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS",
            "address_2": "STE 502",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2577",
            "fax_number": "918-331-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS #502",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-331-2577",
            "fax_number": "918-331-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "GARY",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "3077",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0524469",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "05-24469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106620A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101863",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea N Dryden, ARNP
• Ashley Elizabeth Duncan, M.S., SLP
• Monika Duran
• Seth Matthew Dutton
• Hannah Duvall, FNP
• Treela M Eastom
• Francis C Eaton, DO
• Maranda Lee Eaton, CFM
• Shannon Marie Echelle, COTA/L
• Nedra M Edwards, APRN

• Cardiovascular Disease Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.