DR. BRYAN VANDYKE (D.O.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1285990374

DR. BRYAN VANDYKE (D.O.) is a healthcare provider. based in Idaho falls, Idaho. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. O-1166 (ID). The NPI Number for DR. BRYAN VANDYKE (D.O.) is 1285990374

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN VANDYKE (D.O.)
NPI
1285990374
Phone
(919) 475-1161
Address
3611 BOULDER CREEK LN
Enumeration Date
3 April 2012
Last Update Date
23 January 2019

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2082271100
Graduation Year
2012 (14 years ago)
PAC ID
8224277686
Group Practice PAC ID
6204731227
Professional Enrollment ID
I20180716001300
Address ID
ID834044720ID3720XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

181 ORTHOPEDIC SURGERY in ID

Provider Addresses for DR. BRYAN VANDYKE (D.O.)

  • 3611 BOULDER CREEK LN

    IDAHO FALLS, ID 834065114

    Phone: (919) 475-1161

    Type: Mailing

  • 2321 CORONADO ST

    IDAHO FALLS, ID 834047407

    Phone: (208) 227-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $15,410.

Total Amount is formed as General ($15,410) + Research ($0) + Ownership ($0) = $15,410.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Medline Industries LP ($14,590).

Total Amount

$15,410

General + Research + Ownership

Payments

26

Total payment records

General Amount

$15,410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-07-16

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
I20180716001300IOrthopedic SurgeryIDTBD

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
73630X-ray of foot, minimum of 3 views11672$0
99213Established patient office or other outpatient visit, 20-29 minutes7350$0
99212Established patient office or other outpatient visit, 10-19 minutes5444$0
73610X-ray of ankle, minimum of 3 views5331$0
99214Established patient office or other outpatient visit, 30-39 minutes3330$0
View full utilization report →

Insurance plans in this area (ZIP 83406)

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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: 6204731227View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryMD
Physician AssistantID
Orthopedic SurgeryUT
Physician AssistantID
-ID
-ID
Orthopedic SurgeryOH
Orthopedic SurgeryID
Physician AssistantID
Physician AssistantAZ

Reviews

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Frequently asked questions

What NPI should I save for DR. BRYAN VANDYKE (D.O.)?
Save NPI 1285990374 if you need a stable reference for DR. BRYAN VANDYKE (D.O.).
Is DR. BRYAN VANDYKE (D.O.) active in the national directory?
DR. BRYAN VANDYKE (D.O.)'s public NPI profile is in an active state.
Can you summarize DR. BRYAN VANDYKE (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. BRYAN VANDYKE (D.O.) with Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRYAN VANDYKE (D.O.)?
The page summarizes Idaho Falls, Idaho for DR. BRYAN VANDYKE (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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