Paul S. Petrungaro, DDS, MS
NPI 1063571974ActiveIndividual· Dentist· Northfield, IL
Dentist (DDS, MS) in Northfield, Illinois, licensed in IL, with an NPI issued in December 2006. Part D covered 14 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1063571974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MS |
| Sole proprietor | No |
| NPI issued | Dec 6, 2006 |
| Last updated in NPPES | Feb 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019.020118 | IL |
| Dentist, Periodontics | 1223P0300X | 021.001401 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Total drug cost | $111.61 |
| Generic share | 100% of claims |
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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