Abtin Etezadi-Tabrizi, DMD
NPI 1366601866ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Sioux Falls, SD
Opted out of Medicare from March 2026 to March 2028. Dentist, Oral and Maxillofacial Surgery (DMD) in Sioux Falls, South Dakota, trained at Medical College of Georgia School of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $2,653 for 733 claims, against $1,675 paid for services in 2024. Zimvie Inc. reported $112.19 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1366601866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 9, 2008 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | D1506 | SD |
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 5, 2026 – Mar 5, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 17 across 7 procedure codes |
| Paid by Medicare | $1,675 |
Part D prescriptions in 2024
| Prescriptions (claims) | 733 · 736 30-day fills |
|---|---|
| Patients | 242 |
| Total drug cost | $2,653 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Oral Surgery |
| Secondary specialties | Maxillofacial Surgery |
Industry payments (Open Payments)
- 2025$112.19 · 2 payments from 1 company
- 2024$191.35 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $112.19 | 2 |
What the 2025 payments were for
- Food and Beverage$112.19 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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