DR. TIMOTHY J. DYKSTRA (DO) – Internal Medicine Physician, NPI 1376592758

DR. TIMOTHY J. DYKSTRA (DO) is a healthcare provider. based in Lewiston, Idaho. specializing in Internal Medicine Physician. They hold the professional credentials DO. They hold a License No. O-216 (ID). The NPI Number for DR. TIMOTHY J. DYKSTRA (DO) is 1376592758

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J. DYKSTRA (DO)
NPI
1376592758
Phone
(208) 746-1383
Address
2315 8TH ST
Enumeration Date
10 May 2006
Last Update Date
8 March 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2087461383
Graduation Year
1996 (30 years ago)
PAC ID
8527149954
Group Practice PAC ID
2365722105
Professional Enrollment ID
I20100902000820
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY J. DYKSTRA (DO)

  • Valley Medical Center, 2315, 8th Street, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835017301

    Phone: (208) 746-1383

    Fax: (208) 746-6348

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83501)

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Provider's Procedures

DR. TIMOTHY J. DYKSTRA (DO) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEID83036Hemoglobin A1C level322167
INTERNAL MEDICINEID93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4140

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: 2365722105View full group profile
NameSpecialtyState
ANDREA N HEDRICK (CNM)
Certified Nurse Midwife (Cnm)ID
Unknown Individual
-ID
MR. GREGORY ROBERT OBRAY (PA-C)
Physician AssistantID
EVA LOUISE MICHELS (FNP-C)
Nurse PractitionerWA
DR. BRYAN JAMES BEARDSLEY (M.D.)
Orthopedic SurgeryID
CAROL A ELLIS (NPC)
-ID
BREANNE L LYBYER (PA-C)
Physician AssistantID
REBECCA LYN HORNE (NP-C)
-ID
CAROL CHANDLER (NP)
Nurse PractitionerID
ERIC FAST (FNP)
-ID

Reviews

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Frequently asked questions

Can I verify DR. TIMOTHY J. DYKSTRA (DO) with an NPI only?
You can start verification with NPI 1376592758 for DR. TIMOTHY J. DYKSTRA (DO), then check state licensing separately.
Does the file indicate DR. TIMOTHY J. DYKSTRA (DO) is practicing under active NPI?
Directory data currently reports DR. TIMOTHY J. DYKSTRA (DO) as active.
What is DR. TIMOTHY J. DYKSTRA (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. TIMOTHY J. DYKSTRA (DO) here. Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY J. DYKSTRA (DO) list a practice location?
Patients near Lewiston, Idaho may find DR. TIMOTHY J. DYKSTRA (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.