GARY T. DYKSTRA (D.O.) – Cardiovascular Disease Physician, NPI 1033172192
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
305 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OK
Provider Addresses for GARY T. DYKSTRA (D.O.)
3400 SE FRANK PHILLIPS #502
BARTLESVILLE, OK 74006
Phone: (918) 331-2577
Fax: (918) 331-2513
Type: Location
Virginia and Frank Phillips, Southwest Frank Phillips Boulevard, Bartlesville, Washington County, Oklahoma, 74003, United States
STE 502
BARTLESVILLE, OK 740062495
Phone: (918) 331-2577
Fax: (918) 331-2513
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: PFIZER INC. ($44).
Total Amount
$173
General + Research + Ownership
Payments
10
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $44 |
| Janssen Pharmaceuticals, Inc | $31 |
| Philips North America LLC | $25 |
| Amgen Inc. | $22 |
| Lexicon Pharmaceuticals, Inc. | $19 |
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: 2011-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110103000547 | I | Cardiovascular Disease (Cardiology) | OK | TBD |
| I20111219000876 | I | Cardiovascular Disease (Cardiology) | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 468 | 412 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 430 | 357 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 382 | 296 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 358 | 121 | $0 |
| 85610 | Blood test, clotting time | 243 | 20 | $0 |
Insurance plans in this area (ZIP 74006)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 201 | 201 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 85610 | Blood test, clotting time | 2273 | 215 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 56 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| Cardiovascular Disease (Cardiology) | OK | |
| E N D O C R I N O L O G Y | VA | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK | |
| - | OK |
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