Lyle Duane Kelstrom, DDS
NPI 1356567333ActiveIndividual· Dentist, General Practice· Vancouver, WA
Opted out of Medicare from May 2016 to May 2028. Dentist, General Practice (DDS) in Vancouver, Washington, licensed in WA, with an NPI issued in April 2007. Part D covered 24 prescriptions written in 2024, 100% of them generic. Kulzer, LLC reported $24.84 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1356567333 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Feb 21, 2025 |
| Certified by provider | Feb 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DE00004874 | WA |
| Dentist | 122300000X | DE00004874 | WA |
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 May 23, 2016 – May 23, 2028 |
| 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) | 24 · 24 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $80.20 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$24.84 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Kulzer, LLC | $24.84 | 1 |
What the 2024 payments were for
- Food and Beverage$24.84 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 228 general dentists in Vancouver · All general dentists in Washington