Callee Cosby Clark, DDS
NPI 1326278797ActiveIndividual· Dentist, Endodontics· Grand Junction, CO
Opted out of Medicare from January 2023 to January 2027. Dentist, Endodontics (DDS) in Grand Junction, Colorado, licensed in MS and CO, with an NPI issued in July 2009. Part D covered 75 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1326278797 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jul 20, 2009 |
| Last updated in NPPES | Jun 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 3621-11 | MS |
| Dentist, Endodontics | 1223E0200X | DEN.00202198 | CO |
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 Jan 23, 2023 – Jan 23, 2027 |
| Can order and refer | No |
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) | 75 · 75 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $372.31 |
| Generic share | 99% 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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