Jay Edward Fandel, D.M.D.
NPI 1417040940ActiveIndividual· Dentist· San Angelo, TX
Opted out of Medicare from October 2015 to October 2027. Dentist (D.M.D.) in San Angelo, Texas, licensed in MS, with an NPI issued in October 2006. Part D covered 138 prescriptions written in 2024, 99% of them generic. Acteon Inc reported $681.00 in payments in 2024, mostly gifts.
Overview
| NPI | 1417040940 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Sep 22, 2022 |
| Certified by provider | Sep 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2612-91 | MS |
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 Oct 5, 2015 – Oct 5, 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) | 138 · 138 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $977.71 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2024$681.00 · 3 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Acteon Inc | $681.00 | 3 |
What the 2024 payments were for
- Gift$681.00 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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