DYLLAN LANDRY (MD) – Surgery Physician, NPI 1477073575

DYLLAN LANDRY (MD) is a healthcare provider. based in Emporia, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. E-15410 (AR). The NPI Number for DYLLAN LANDRY (MD) is 1477073575

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DYLLAN LANDRY (MD)
NPI
1477073575
Phone
(620) 343-6800
Address
1201 W 12th Ave
Enumeration Date
21 June 2017
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6203645395
Graduation Year
2022 (4 years ago)
PAC ID
6608147921
Group Practice PAC ID
4880588391
Professional Enrollment ID
I20250503000178
Address ID
KS668392616BU309XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

300 GENERAL SURGERY in KS

Provider Addresses for DYLLAN LANDRY (MD)

  • 1201 W 12th Ave

    Emporia, KS 668012504

    Phone: (620) 343-6800

    Fax: (620) 341-7821

    Type: Location

  • 1010 N Kansas St

    Wichita, KS 672143124

    Phone: (316) 293-2665

    Type: Location

  • 1001 S Horsebarn Rd

    Rogers, AR 727588184

    Phone: (479) 273-7700

    Fax: (479) 464-7734

    Type: Location

  • 1201 W 12TH AVE

    EMPORIA, KS 668012504

    Phone: (620) 343-6800

    Fax: (620) 341-7821

    Type: Mailing

  • University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672143124

    Phone: (316) 293-2665

    Type: Mailing

  • 1301 W 12TH AVE STE 301

    EMPORIA, KS 668012590

    Phone: (620) 343-2376

    Fax: (620) 343-5987

    Type: Location

  • 1001 S HORSEBARN RD

    ROGERS, AR 727588184

    Phone: (479) 273-7700

    Fax: (479) 464-7734

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Innovation Technologies Inc ($49).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2025-05-03

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
I20220803002363IGeneral SurgeryARTBD
I20250503000178IGeneral SurgeryKSTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8281$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7044$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5832$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3030$0
47563Removal of gallbladder with x-ray study of bile ducts using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 66801)

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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: 4880588391View full group profile
NameSpecialtyState
General SurgeryCO
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for DYLLAN LANDRY (MD)?
DYLLAN LANDRY (MD) — NPI 1477073575 — is the standard way to identify this listing.
Is DYLLAN LANDRY (MD) listed as active for patients and plans?
The listing shows DYLLAN LANDRY (MD) as active in the NPI system.
What healthcare role does DYLLAN LANDRY (MD) hold?
Scheduling teams often label DYLLAN LANDRY (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DYLLAN LANDRY (MD)?
DYLLAN LANDRY (MD)'s geographic hint is Emporia, Kansas in our summary view.
Is the information about DYLLAN LANDRY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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