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Stephanie Peacock

NPI 1417524539ActiveIndividual· Dentist, General Practice· La Mesa, CA

Dentist, General Practice in La Mesa, California, licensed in CA, with an NPI issued in June 2021. Part D covered 30 prescriptions written in 2024, 100% of them generic. Envista Holdings Corporation reported $50.87 in payments in 2025, mostly food and beverage.

Overview

NPI1417524539
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 8, 2021
Last updated in NPPESAug 25, 2023
Certified by providerAug 25, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X108449CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)30 · 30 30-day fills
Patients16
Total drug cost$139.10
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$50.87 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Envista Holdings Corporation$50.871

What the 2025 payments were for

  • Food and Beverage$50.87 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in La Mesa

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