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Grigoriy Yusupov, DDS

NPI 1023279254ActiveIndividual· Dentist· Elizabeth, NJ

Dentist (DDS) in Elizabeth, New Jersey, trained at New York University College of Dentistry (class of 1997). 148 Medicare patients in 2024, $536,755 paid; all of their 193 Part D prescriptions were generic.

Overview

NPI1023279254
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedJun 20, 2008
Last updated in NPPESMay 1, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X220102207500NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Dentist (NJ); Practitioner - Dentist (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients148
Services billed812 across 10 procedure codes
Paid by Medicare$536,755

Part D prescriptions in 2024

Prescriptions (claims)193 · 193 30-day fills
Patients57
Total drug cost$863.67
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolNew York University College of Dentistry
Graduation year1997
Medicare specialtyDentist

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Elizabeth

All 35 dentists in Elizabeth · All dentists in New Jersey