Kenneth Brian Rusanowski, DDS
NPI 1174675185ActiveIndividual· Dentist, Periodontics· Santa Fe, NM
Dentist, Periodontics (DDS) in Santa Fe, New Mexico, licensed in NM, with an NPI issued in January 2007. Part D covered 83 prescriptions written in 2024, 83% of them generic.
Overview
| NPI | 1174675185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | DD1585 | NM |
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) | Enrolled Order and Referring Only - Oral Surgery (NM) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 91 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $533.04 |
| Generic share | 83% 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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