Marisa Elizabeth Patt, DMD
NPI 1124331004ActiveIndividual· Dentist, Prosthodontics· Boulder, CO
Opted out of Medicare from July 2018 to July 2028. Dentist, Prosthodontics (DMD) in Boulder, Colorado, licensed in CO, with an NPI issued in July 2010. Part D covered 11 prescriptions written in 2024, 100% of them generic. Patterson Companies, Inc. was the largest of 2 companies reporting payments in 2025, $51.69 in all, mostly food and beverage.
Overview
| NPI | 1124331004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Jul 20, 2010 |
| Last updated in NPPES | Jul 6, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 00203089 | CO |
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 |
|---|---|
| Opt-out | Opted out Jul 16, 2018 – Jul 16, 2028 |
| Can order and refer | Yes |
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) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $30.58 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$51.69 · 2 payments from 2 companies
- 2024$2,390 · 24 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $36.91 | 1 |
| Philips North America LLC | $14.78 | 1 |
What the 2025 payments were for
- Food and Beverage$51.69 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Prosthodontics providers in Boulder
- 1730764549
- 1568694305
- 1922140219
- 1780800581
- 1922606870