CMS-1500 Box 24J / 33a • NPI
1851779839
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
1458 ESPLANADE STE 4, CHICO, CA, 95926-3309
✓ 9-Digit EDI 837 ZIP+4 (95926-3309)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1851779839 (BRADLEY DYNIEWSKI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1851779839)
Medicare Beneficiaries
607
Total Billed Services
1,294
Distinct CPT/HCPCS Codes
86
Medicare Allowed Total
$190,867.84
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
35301 | Removal of blood clot and portion of chest, neck, or brain artery | 16 |
36830 | Creation of artery-vein connection using tube graft for hemodialysis | 11 |
36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 20 |
37215 | Insertion of stent and blood clot protection device in neck artery with review by radiologist | 13 |
37224 | Balloon dilation of artery of leg | 16 |
37228 | Balloon dilation of artery of leg, initial vessel | 16 |
75710 | Review by radiologist of arm or leg artery image | 32 |
76937 | Ultrasonic guidance for blood vessel access | 68 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cilostazol Cilostazol | 107 | 34 |
| Clopidogrel Clopidogrel Bisulfate | 30 | 23 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 35 | 32 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1851779839 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRADLEY DYNIEWSKI |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1458 ESPLANADE STE 4, CHICO, CA, 95926-3309 |
| Practice Telephone / Fax | Tel: (530) 332-4510 |
| Administrative Mailing Address | 329 PODRES LN, CHATHAM, IL, 62629-5003 |
| Enumeration & Last Sync | Enumerated: 2015-05-11 | CMS Record Updated: 2020-09-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRADLEY DYNIEWSKI)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: CA | License: A168005 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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