DR. DAVID VANDERLYKE (DPM) – Podiatrist, NPI 1063583243

DR. DAVID VANDERLYKE (DPM) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC003874L (PA). The NPI Number for DR. DAVID VANDERLYKE (DPM) is 1063583243

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID VANDERLYKE (DPM)
NPI
1063583243
Phone
(215) 673-7036
Address
842 RED LION RD
Enumeration Date
10 November 2006
Last Update Date
20 October 2016

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2676357092
Graduation Year
1993 (33 years ago)
PAC ID
6002026879
Group Practice PAC ID
9830576453
Professional Enrollment ID
I20110503000695
Address ID
PA191522012PH8410XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,283 PODIATRY in PA

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Provider Addresses for DR. DAVID VANDERLYKE (DPM)

  • Red Lion Road, Philadelphia, Philadelphia County, Pennsylvania, 19115, United States

    SUITE 10

    PHILADELPHIA, PA 191151475

    Phone: (215) 673-7036

    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: 2011-05-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110503000695IPodiatryPATBD

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
11721Removal of fingernails or toenails, 6 or more nails1,753559$0
99212Established patient office or other outpatient visit, 10-19 minutes223169$0
11056Removal of noncancer thickened skin growth, 2-4 growths19875$0
11730Simple separation of fingernail or toenail from nail bed, first nail151121$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes14544$0
View full utilization report →

Insurance plans in this area (ZIP 19115)

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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: 9830576453View full group profile
NameSpecialtyState
P O D I A T R YNJ
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YNJ

Reviews

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Frequently asked questions

What identifier follows DR. DAVID VANDERLYKE (DPM) across health systems?
The NPI 1063583243 uniquely identifies DR. DAVID VANDERLYKE (DPM) in U.S. healthcare data.
Does the public listing show DR. DAVID VANDERLYKE (DPM) as active?
DR. DAVID VANDERLYKE (DPM)'s NPI record reflects an active status in NPPES.
What type of care does DR. DAVID VANDERLYKE (DPM) provide?
DR. DAVID VANDERLYKE (DPM)'s profile centers on Podiatrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID VANDERLYKE (DPM) in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for DR. DAVID VANDERLYKE (DPM), then verify phone and hours locally.
Who maintains DR. DAVID VANDERLYKE (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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