Timothy Jason Lemoine, DDS
NPI 1093394777ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Green Bay, WI
Opted out of Medicare from July 2025 to July 2027. Dentist, Oral and Maxillofacial Surgery (DDS) in Green Bay, Wisconsin, licensed in WI, with an NPI issued in April 2021. Part D covered 220 prescriptions written in 2024, 100% of them generic. Straumann USA LLC reported $3,889 in payments in 2025, mostly travel and lodging.
Overview
| NPI | 1093394777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2021 |
| Last updated in NPPES | Jun 19, 2025 |
| Certified by provider | Jun 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 1002550-15 | WI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 10, 2025 – Jul 10, 2027 |
| Can order and refer | No |
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) | 220 · 244 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $1,584 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$3,889 · 14 payments from 1 company
- 2024$133.20 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $3,889 | 14 |
What the 2025 payments were for
- Travel and Lodging$2,058 · 1 payment
- Food and Beverage$1,732 · 12 payments
- Gift$100.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other oral surgeons in Green Bay
- 1073013025
- 1619174877
- 1760403570
- 1982084968
- 1013098698
- 1013921196
- 1396001483
- 1427638170
- 1427639038
- 1447274071
- 1609496595
- 1861592529
All 20 oral surgeons in Green Bay · All oral surgeons in Wisconsin