Trystan Richard Wiedow, DDS
NPI 1427639038ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Green Bay, WI
Opted out of Medicare from July 2026 to July 2028. Dentist, Oral and Maxillofacial Surgery (DDS) in Green Bay, Wisconsin, licensed in WI and IA, with an NPI issued in April 2021. Part D covered 99 prescriptions written in 2024, 100% of them generic. Zimmer Biomet Holdings, Inc. reported $93.86 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1427639038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Jun 20, 2026 |
| Certified by provider | Jun 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 1002773-15 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 1002773 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | RES-30614 | IA |
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 Jul 8, 2026 – Jul 8, 2028 |
| Can order and refer | No |
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) | 99 · 109 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $942.30 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$93.86 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $93.86 | 1 |
What the 2025 payments were for
- Food and Beverage$93.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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