Stacy Eden, DDS
NPI 1114248085ActiveIndividual· Dentist· Tigard, OR
Dentist (DDS) in Tigard, Oregon, licensed in OR, with an NPI issued in June 2010. Part D covered 77 prescriptions written in 2024, 62% of them generic.
Overview
| NPI | 1114248085 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 15, 2010 |
| Last updated in NPPES | Jun 11, 2020 |
| Certified by provider | Jun 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D10481 | OR |
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) | 77 · 87 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $992.64 |
| Generic share | 62% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Tigard
- 1912165093
- 1619081254
- 1740553106
- 1033525233
- 1174657217
- 1629463740
- 1093138893
- 1184071003
- 1538323613
- 1518245349
- 1962784090
- 1821233222