DR. DALE H WYTOCK (MD) – Specialist, NPI 1518960467

Specialist

DR. DALE H WYTOCK (MD) is a healthcare provider. based in Independence, Missouri. specializing in Specialist. They hold the professional credentials MD. They hold a License No. 117459 (MO). The NPI Number for DR. DALE H WYTOCK (MD) is 1518960467

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

DR. DALE H WYTOCK (MD)

NPI

1518960467

Phone

(816) 478-4887

Address

17501 E 40 HWY

Enumeration Date

24 May 2005

Last Update Date

18 July 2008

Doctor Profile

Medical School Name

CREIGHTON UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

6602592203

Graduation Year

1977 (49 years ago)

PAC ID

1052340452

Group Practice PAC ID

0941119150

Professional Enrollment ID

I20100306000189

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DALE H WYTOCK (MD)

Highway 40, Independence, Tangipahoa Parish, Louisiana, 70446, United States of America
STE 213A
INDEPENDENCE, MO 640556445
Phone: (816) 478-4887
Fax: (816) 478-7222
Type: Mailing
Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068-1901, United States of America
STE 408
LIBERTY, MO 640683388
Phone: (816) 478-4887
Fax: (816) 478-7222
Type: Location

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.

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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 64055)

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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: 0941119150View full group profile

Name	Specialty	State
MR. RICK DANIEL DOWNEY (C.R.N.A.)	Certified Registered Nurse Anesthetist (Crna)	MO
KELLI LICHTE (FNP-C)	Nurse Practitioner	MO
DR. MATTHEW ERIC NADLER (M.D.)	Pain Management, Anesthesiology	KS
DR. NASER O. SOGHRATI (DO)	Internal Medicine	MO
DR. JEFFREY LEWIS SCHLACHTER (D.O.)	-	KS
DR. MATTHEW DAVID RHADANS (M.D.)	Family Practice	MO
DR. ADAM JOSEPH HENSON (D.O.)	Emergency Medicine	OK
DR. TIMOTHY ALLEN HALL (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	MO
MELANIE ANN BEAL (FNP)	Nurse Practitioner	KS
DR. BRENT S CARLSON (MD)	Emergency Medicine	MO