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William Abel Brachvogel, DDS

NPI 1063487965ActiveIndividual· Dentist, General Practice· Boulder, CO

Opted out of Medicare from September 2015 to September 2027. Dentist, General Practice (DDS) in Boulder, Colorado, licensed in CO, with an NPI issued in February 2006. Part D covered 49 prescriptions written in 2024, 76% of them generic.

Overview

NPI1063487965
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedFeb 22, 2006
Last updated in NPPESOct 12, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X6866CO

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)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Sep 22, 2015 – Sep 22, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)49 · 52 30-day fills
Patients40
Total drug cost$298.31
Generic share76% of claims

Medicare sources and data years

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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