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Peter L. Passero, DDS

NPI 1194169565ActiveIndividual· Dentist, Periodontics· Mc Lean, VA

Opted out of Medicare from June 2013 to June 2027. Dentist, Periodontics (DDS) in Mc Lean, Virginia, licensed in VA, with an NPI issued in April 2013.

Overview

NPI1194169565
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedApr 29, 2013
Last updated in NPPESApr 29, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X0401005265VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 Jun 6, 2013 – Jun 6, 2027
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.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other periodontists in Mc Lean

All periodontists in Virginia