John Russell Phelps III, D.D.S., M.S.D.
NPI 1093786147ActiveIndividual· Dentist, Prosthodontics· Indianapolis, IN
Dentist, Prosthodontics (D.D.S., M.S.D.) in Indianapolis, Indiana, licensed in IN, with an NPI issued in January 2006. Part D covered 58 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1093786147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S., M.S.D. |
| Sole proprietor | No |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | Nov 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 12009486 | 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 Order and Referring Only - Other (Non-Physician) (IN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 61 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $1,221 |
| Generic share | 93% 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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