DR. DARYL RAY DUTTER (M.D.) – Family Medicine Physician, NPI 1578568366

DR. DARYL RAY DUTTER (M.D.) is a healthcare provider. based in Modesto, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G57233 (CA). The NPI Number for DR. DARYL RAY DUTTER (M.D.) is 1578568366

Main info

Male
Sole Proprietor
43 Years Of Experience
Name
DR. DARYL RAY DUTTER (M.D.)
NPI
1578568366
Phone
(209) 342-2300
Address
450 GLASS LN STE C
Enumeration Date
17 June 2005
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
3072648203
Group Practice PAC ID
5496152845
Professional Enrollment ID
I20100312000888
Address ID
CA953569287MO450XXLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. DARYL RAY DUTTER (M.D.)

  • 450 GLASS LN STE C

    MODESTO, CA 953569287

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Mailing

  • 521 N WILMA AVE STE A

    RIPON, CA 953669003

    Phone: (209) 599-4211

    Fax: (209) 599-4341

    Type: Location

  • Ripon, Harrogate, North Yorkshire, Yorkshire and the Humber, England, HG4, United Kingdom

    RIPON, CA 953660210

    Phone: (209) 599-4211

    Fax: (209) 599-7348

    Type: Mailing

  • 150, Vera Avenue, Ripon, San Joaquin County, California, 95366, United States

    RIPON, CA 953662343

    Phone: (209) 599-4211

    Fax: (209) 599-4341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $1,778.

Total Amount is formed as General ($1,778) + Research ($0) + Ownership ($0) = $1,778.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($443).

Total Amount

$1,778

General + Research + Ownership

Payments

99

Total payment records

General Amount

$1,778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100312000888IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample389204$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes18532$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit159159$0
99214Established patient office or other outpatient visit, 30-39 minutes13998$0
99213Established patient office or other outpatient visit, 20-29 minutes13798$0
View full utilization report →

Insurance plans in this area (ZIP 95356)

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Provider's Procedures

DR. DARYL RAY DUTTER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA27447Repair of knee joint1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496152845View full group profile
NameSpecialtyState
Family PracticeCA
Family PracticeCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is DR. DARYL RAY DUTTER (M.D.)'s NPI number?
DR. DARYL RAY DUTTER (M.D.)'s NPI is 1578568366 — the number used across U.S. healthcare to identify this provider.
Is DR. DARYL RAY DUTTER (M.D.) shown as active in public data?
Registry records indicate DR. DARYL RAY DUTTER (M.D.) maintains an active NPI.
What area of care is associated with DR. DARYL RAY DUTTER (M.D.)?
DR. DARYL RAY DUTTER (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DARYL RAY DUTTER (M.D.)?
Travel planning: use Modesto, California as the reference point for DR. DARYL RAY DUTTER (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. DARYL RAY DUTTER (M.D.) is noted as June 17, 2005 where the registry provides it.

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