JACK W. DYER M.D. NPI 1730171802

NPI Information

  • NPI: 1730171802
  • Provider Name: JACK W. DYER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 4TH ST
    LUBBOCK, TX
    ZIP 79430
  • Phone: (806) 743-2757

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NPI Details

Jack W. Dyer, M.D. is a family medicine in Lubbock, TX with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jack W. Dyer, M.D. NPI is 1730171802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1989

The provider's business location address is:

3601 4TH ST
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2757
Fax: (806) 743-2563

The NPI 1730171802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Hospital observation care on day of discharge (HCPCS:99217)

The enumeration date for this NPI number is 8/16/2005 and was last updated on 1/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH8016TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1136022402MEDICAIDTEXAS
2136022404MEDICAIDTEXAS
3112060100OTHERTEXASFIRSTCARE COMMERCIAL
474368OTHERNEW MEXICOPRESBYTERIAN COMMERCIAL
5100161030AMEDICAIDOKLAHOMA
6112060100MEDICAIDTEXAS
774368MEDICAIDNEW MEXICO
889C629OTHERTEXASBCBS
9A023OTHERNEW MEXICOTRIWEST
10V4111MEDICAIDNEW MEXICO
1180744ZOTHERTEXASHMO BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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