Timothy Walter Penberthy, D.D.S.
NPI 1285786194ActiveIndividual· Dentist, Endodontics· Coeur D Alene, ID
Opted out of Medicare from March 2025 to March 2027. Dentist, Endodontics (D.D.S.) in Coeur D Alene, Idaho, licensed in ID, with an NPI issued in January 2007. Part D covered 153 prescriptions written in 2024, 100% of them generic. Sonendo Inc reported $2.82 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1285786194 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D-1930-EN | 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 |
|---|---|
| Opt-out | Opted out Mar 20, 2025 – Mar 20, 2027 |
| Can order and refer | Yes |
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) | 153 · 157 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $587.89 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$2.82 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Sonendo Inc | $2.82 | 1 |
What the 2024 payments were for
- Food and Beverage$2.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other endodontists in Coeur D Alene
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