Theodore Michael Anderson, DMD
NPI 1134178163ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Sheboygan, WI
Opted out of Medicare from December 2022 to December 2026. Dentist, Oral and Maxillofacial Surgery (DMD) in Sheboygan, Wisconsin, licensed in WI, with an NPI issued in May 2006. Part D covered 270 prescriptions written in 2024, 100% of them generic. Straumann USA LLC reported $15.97 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1134178163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Jan 6, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 4516015 | WI |
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 Dec 31, 2022 – Dec 31, 2026 |
| 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) | 270 · 270 30-day fills |
|---|---|
| Patients | 172 |
| Total drug cost | $875.99 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Maxillofacial Surgery |
Industry payments (Open Payments)
- 2024$15.97 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $15.97 | 1 |
What the 2024 payments were for
- Food and Beverage$15.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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