DR. MICHAEL WAYNE JR. DYE (M.D.) – Diagnostic Radiology Physician, NPI 1205057635

DR. MICHAEL WAYNE JR. DYE (M.D.) is a healthcare provider. based in Mishawaka, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01069365A (IN). The NPI Number for DR. MICHAEL WAYNE JR. DYE (M.D.) is 1205057635

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL WAYNE JR. DYE (M.D.)
NPI
1205057635
Phone
(574) 258-1100
Address
620 W EDISON RD
Enumeration Date
2 May 2007
Last Update Date
10 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4194853154
Graduation Year
2005 (21 years ago)
PAC ID
3274701511
Group Practice PAC ID
7517878093
Professional Enrollment ID
I20220512001882
Address ID
OH435431251MO909XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

847 DIAGNOSTIC RADIOLOGY in IN

Provider Addresses for DR. MICHAEL WAYNE JR. DYE (M.D.)

  • 620 W EDISON RD

    STE 110

    MISHAWAKA, IN 465452784

    Phone: (574) 258-1100

    Fax: (574) 258-1101

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110712000728IDiagnostic RadiologyINTBD
I20220512001882IDiagnostic RadiologyOHTBD

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
71045X-ray of chest, 1 view633586$0
70450Ct scan head or brain without contrast330317$0
71046X-ray of chest, 2 views259253$0
74177Ct scan of abdomen and pelvis with contrast195193$0
70553Mri scan of brain before and after contrast110106$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Provider's Procedures

DR. MICHAEL WAYNE JR. DYE (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIN71250CT scan chest2929
DIAGNOSTIC RADIOLOGYIN71010X-ray of chest, 1 view, front401370
DIAGNOSTIC RADIOLOGYIN73630X-ray of foot, minimum of 3 views1414
DIAGNOSTIC RADIOLOGYIN74177CT scan of abdomen and pelvis with contrast6160
DIAGNOSTIC RADIOLOGYIN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3333

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: 7517878093View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyIN
Diagnostic RadiologyIN
Interventional Radiology, Diagnostic RadiologyIN
Diagnostic RadiologyIL
Diagnostic RadiologyIN
-OH
Diagnostic RadiologyNC
Diagnostic RadiologyIN
-OH
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MICHAEL WAYNE JR. DYE (M.D.)?
DR. MICHAEL WAYNE JR. DYE (M.D.) — NPI 1205057635 — is the standard way to identify this listing.
Is DR. MICHAEL WAYNE JR. DYE (M.D.) listed as active for patients and plans?
The listing shows DR. MICHAEL WAYNE JR. DYE (M.D.) as active in the NPI system.
What is DR. MICHAEL WAYNE JR. DYE (M.D.)'s specialty?
The listing groups DR. MICHAEL WAYNE JR. DYE (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MICHAEL WAYNE JR. DYE (M.D.) serve?
DR. MICHAEL WAYNE JR. DYE (M.D.)'s listing highlights Mishawaka, Indiana; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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