BRADLEY W DYRSTAD (M.D.) – Orthopaedic Surgery Physician, NPI 1366641789

BRADLEY W DYRSTAD (M.D.) is a healthcare provider. based in Odessa, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 35.099289 (OH). The NPI Number for BRADLEY W DYRSTAD (M.D.) is 1366641789

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY W DYRSTAD (M.D.)
NPI
1366641789
Phone
(432) 332-2663
Address
1 PARKS LEGADO CT
Enumeration Date
16 July 2007
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4323322663
Graduation Year
2007 (19 years ago)
PAC ID
3274780408
Group Practice PAC ID
3870403363
Professional Enrollment ID
I20141211000944
Address ID
TX797652542OD1XXXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:18State licenses:4Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for BRADLEY W DYRSTAD (M.D.)

  • 1 PARKS LEGADO CT

    ODESSA, TX 797652542

    Phone: (432) 332-2663

    Fax: (432) 335-8849

    Type: Mailing

  • 1340, East 7th Street, Eastview, Odessa, Ector County, Texas, 79761, United States

    ODESSA, TX 797614711

    Phone: (432) 332-2663

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $307.

Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($128).

Total Amount

$307

General + Research + Ownership

Payments

8

Total payment records

General Amount

$307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2014-12-11

PECOS data refreshed: 2026-05-27

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
I20141211000944IOrthopedic SurgeryTXTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,38018$0
99213Established patient office or other outpatient visit, 20-29 minutes372156$0
20610Aspiration and/or injection of fluid from large joint16371$0
J1100Injection, dexamethasone sodium phosphate, 1 mg12264$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12164$0
View full utilization report →

Insurance plans in this area (ZIP 79765)

Loading plans...

Provider's Procedures

BRADLEY W DYRSTAD (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX73562X-ray of knee, 3 views6744

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: 3870403363View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryTX
Physician AssistantTX
Physician AssistantTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify BRADLEY W DYRSTAD (M.D.) for billing?
Administrative and clinical systems typically use NPI 1366641789 for BRADLEY W DYRSTAD (M.D.).
Does the public listing show BRADLEY W DYRSTAD (M.D.) as active?
BRADLEY W DYRSTAD (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does BRADLEY W DYRSTAD (M.D.) provide?
BRADLEY W DYRSTAD (M.D.)'s profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BRADLEY W DYRSTAD (M.D.)?
The directory associates BRADLEY W DYRSTAD (M.D.) with Odessa, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

BENJAMIN JOHN CUNNINGHAM (MD)

Orthopaedic Surgery Physician
600, North Grant Avenue, Heap, Odessa, Ector County, Texas, 79761, United States
NPI: 1568452084

PHILLIP R. ZEECK (MD)

Orthopaedic Surgery Physician
Camden East Road, Highway 401, Odessa, Loyalist, Lennox and Addington County, Eastern Ontario, Ontario, K0H 2H0, Canada
NPI: 1962462994

JAMES R INGRAM (D.O.)

Orthopaedic Surgery Physician
2911 Medical Arts St Ste 10
NPI: 1891756011

BASIN ORTHOPEDIC SURGICAL SPECIALISTS, P.A.

Orthopaedic Surgery Physician
1 PARKS LEGADO CT
NPI: 1164432746

DR. WILLIAM G. REILLY (M.D.)

Orthopaedic Surgery Physician
1340, East 7th Street, Eastview, Odessa, Ector County, Texas, 79761, United States
NPI: 1447260963

DR. RICHARD L DUKE (M.D.)

Orthopaedic Surgery Physician
Odessa Regional Medical Center, 520, East 6th Street, Owen, Odessa, Ector County, Texas, 79761, United States
NPI: 1326058868

DR. STEVEN CLAYTON RILEY (M.D.)

Orthopaedic Surgery Physician
1340, East 7th Street, Eastview, Odessa, Ector County, Texas, 79761, United States
NPI: 1881604353

DANIEL M BABBEL (MD)

Orthopaedic Hand Surgery Physician
Odessa Post Office, 223, East Main Street, Odessa, Town of Catharine, Schuyler County, New York, 14869, United States
NPI: 1093821357