Gadia Kumunjun Peabody, DDS
NPI 1457570863ActiveIndividual· Dentist, Prosthodontics· Muskegon, MI
Dentist, Prosthodontics (DDS) in Muskegon, Michigan, licensed in MI, CA and IL, with an NPI issued in April 2007. Part D covered 45 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1457570863 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Apr 24, 2007 |
| Last updated in NPPES | Dec 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 2901011507 | MI |
| Dentist, Prosthodontics | 1223P0700X | 63907 | CA |
| Dentist, General Practice | 1223G0001X | 019026130 | IL |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $263.74 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records