Jack S. Elder, MD
NPI 1457385072ActiveIndividual· Urology· Detroit, MI
Urology (MD) in Detroit, Michigan, trained at University of Oklahoma College of Medicine (class of 1976). Enrolled in Medicare as practitioner - urology. Dentsply Ih Ab reported $14.92 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1457385072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Jan 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 35-053721 | OH |
| Urology | 208800000X | 4301072611 | MI |
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) | Enrolled Practitioner - Urology (MA) |
|---|
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Urology |
| Secondary specialties | Pediatric Medicine |
Medical group
- Massachusetts General Physicians Organization IncBoston, MA · 3,558 clinicians
Industry payments (Open Payments)
- 2024$14.92 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Ih Ab | $14.92 | 1 |
What the 2024 payments were for
- Food and Beverage$14.92 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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