DAVID C. DYSLIN (M.D) – Surgery Physician, NPI 1720051212

DAVID C. DYSLIN (M.D) is a healthcare provider. based in Arlington, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D. They hold a License No. J9667 (TX). The NPI Number for DAVID C. DYSLIN (M.D) is 1720051212

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID C. DYSLIN (M.D)
NPI
1720051212
Phone
(817) 275-3309
Address
811 W INTERSTATE 20
Enumeration Date
7 February 2006
Last Update Date
2 June 2016

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6827121132
Graduation Year
1990 (36 years ago)
PAC ID
2567637457
Group Practice PAC ID
2365878295
Professional Enrollment ID
I20111205000193
Address ID
TX760122513AR1017XRDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DAVID C. DYSLIN (M.D)

  • 811, West Interstate 20, Southland Acres, Arlington, Tarrant County, Texas, 76017, United States

    STE. 212

    ARLINGTON, TX 760175870

    Phone: (817) 275-3309

    Fax: (817) 275-0071

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $2,227.

Total Amount is formed as General ($2,227) + Research ($0) + Ownership ($0) = $2,227.

Last reported payment date: 2023-07-15 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($2,227).

Total Amount

$2,227

General + Research + Ownership

Payments

12

Total payment records

General Amount

$2,227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-15

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: 2011-12-05

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
I20111205000193IGeneral 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
99213Established patient office or other outpatient visit, 20-29 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 76017)

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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: 2365878295View full group profile
NameSpecialtyState
General SurgeryTX
Thoracic Surgery, Cardiac SurgeryTX
Vascular SurgeryFL

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID C. DYSLIN (M.D)?
NPI 1720051212 is assigned to DAVID C. DYSLIN (M.D) under the national enumeration system.
Is DAVID C. DYSLIN (M.D) active in the national directory?
DAVID C. DYSLIN (M.D)'s public NPI profile is in an active state.
What kind of provider is DAVID C. DYSLIN (M.D)?
The page reflects Surgery Physician for DAVID C. DYSLIN (M.D). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID C. DYSLIN (M.D)?
The page summarizes Arlington, Texas for DAVID C. DYSLIN (M.D); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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