Samuel Albert Tancredi, D.D.S.
NPI 1073783478ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Indianapolis, IN
Dentist, Oral and Maxillofacial Surgery (D.D.S.) with Indiana Oral and Maxillofacial Surgery Associates PC, practicing in Indianapolis, Indiana. 28 Medicare patients in 2024, $6,758 paid; all of their 936 Part D prescriptions were generic.
Overview
| NPI | 1073783478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Mar 3, 2008 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Feb 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 12010688A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 41 across 16 procedure codes |
| Paid by Medicare | $6,758 |
Part D prescriptions in 2024
| Prescriptions (claims) | 936 · 943 30-day fills |
|---|---|
| Patients | 374 |
| Total drug cost | $6,345 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Oral Surgery |
| Secondary specialties | Maxillofacial Surgery |
Medical group
- Indiana Oral and Maxillofacial Surgery Associates PCFishers, IN · 11 clinicians
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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All 61 oral surgeons in Indianapolis · All oral surgeons in Indiana