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Bruce Alan Vande Berg, DDS

NPI 1164521043ActiveIndividual· Dentist· Cary, NC

Opted out of Medicare from March 2016 to March 2028. Dentist (DDS) in Cary, North Carolina, licensed in NC, with an NPI issued in September 2006. Part D covered 37 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $308.99 in payments in 2025, mostly gifts.

Overview

NPI1164521043
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedSep 21, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X6408NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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-outOpted out Mar 21, 2016 – Mar 21, 2028
Can order and referYes

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)37 · 37 30-day fills
Patients31
Total drug cost$142.87
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$308.99 · 1 payment from 1 company
  • 2024$717.46 · 3 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Ultradent Products Inc$308.991

What the 2025 payments were for

  • Gift$308.99 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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