Jasen Scott Debrine
NPI 1366014730ActiveIndividual· Dentist, General Practice· Springfield, OR
Dentist, General Practice in Springfield, Oregon, licensed in OR, with an NPI issued in July 2021. 52 Medicare patients in 2024, $383,233 paid; all of their 97 Part D prescriptions were generic. Ultradent Products Inc reported $124.98 in payments in 2024, mostly gifts.
Overview
| NPI | 1366014730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 14, 2021 |
| Last updated in NPPES | Dec 4, 2025 |
| Certified by provider | Dec 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D12095 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 409 across 19 procedure codes |
| Paid by Medicare | $383,233 |
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 97 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $383.68 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$124.98 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $124.98 | 2 |
What the 2024 payments were for
- Gift$124.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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