Stacy L. Blackmon, DDS
NPI 1043334766ActiveIndividual· Dentist· Lake Wylie, SC
Dentist (DDS) in Lake Wylie, South Carolina, licensed in SC, with an NPI issued in March 2007. Part D covered 194 prescriptions written in 2024, 95% of them generic. Patterson Companies, Inc. was the largest of 2 companies reporting payments in 2025, $49.84 in all, mostly food and beverage.
Overview
| NPI | 1043334766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3673 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (SC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 198 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $841.24 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
- 2025$49.84 · 3 payments from 2 companies
- 2024$796.81 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $36.90 | 2 |
| Voco America Inc. | $12.94 | 1 |
What the 2025 payments were for
- Food and Beverage$49.84 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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