Devan Dykstra
NPI 1902467061ActiveIndividual· Family Medicine· Saint Clair Shores, MI
Family Medicine in Saint Clair Shores, Michigan, trained at Wayne State University School of Medicine (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $251,020 for 2,752 claims, against $406.09 paid for services in 2024.
Overview
| NPI | 1902467061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 27, 2019 |
| Last updated in NPPES | Jun 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4351044757 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 43 across 4 procedure codes |
| Paid by Medicare | $406.09 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,752 · 5,501 30-day fills |
|---|---|
| Patients | 186 |
| Total drug cost | $251,020 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Advantage Health/Saint Mary's Medical GroupCaledonia, MI · 505 clinicians
- Cherry Street Services IncGrand Rapids, MI · 59 clinicians
Hospital affiliations
- Mercy Health Saint Mary'sGrand Rapids, MI
- Spectrum HealthGrand Rapids, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 86 family medicine physicians in Saint Clair Shores · All family medicine physicians in Michigan