Wayne R. Peterson, D.M.D.
NPI 1194803577ActiveIndividual· Dentist, General Practice· Boise, ID
Dentist, General Practice (D.M.D.) in Boise, Idaho, licensed in ID, with an NPI issued in November 2006. Part D covered 52 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc reported $21.79 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1194803577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Feb 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D-3654 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 52 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $381.87 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$21.79 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $21.79 | 1 |
What the 2024 payments were for
- Food and Beverage$21.79 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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