Robert L. Fackrell, DDS
NPI 1215072798ActiveIndividual· Dentist, General Practice· Pocatello, ID
Dentist, General Practice (DDS) in Pocatello, Idaho, licensed in ID, with an NPI issued in February 2007. Part D covered 71 prescriptions written in 2024, 94% of them generic. Ultradent Products Inc reported $46.97 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1215072798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Jan 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D3134 | 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) | 71 · 72 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $274.07 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2024$46.97 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $46.97 | 1 |
What the 2024 payments were for
- Food and Beverage$46.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general dentists in Pocatello
- 1043362452
- 1104483817
- 1174747190
- 1245542596
- 1356507925
- 1467543595
- 1538713342
- 1548271760
- 1568575330
- 1629753868
- 1720099971
- 1730139023
All 68 general dentists in Pocatello · All general dentists in Idaho