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Rustam K. De Vitre, D.M.D.

NPI 1477610269ActiveIndividual· Dentist, Prosthodontics· Boston, MA

Dentist, Prosthodontics (D.M.D.) in Boston, Massachusetts, licensed in MA, with an NPI issued in January 2007. Part D covered 28 prescriptions written in 2024, 100% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $357.44 in all, mostly food and beverage.

Overview

NPI1477610269
StatusActive
Entity typeIndividual
CredentialD.M.D.
Sole proprietorYes
NPI issuedJan 2, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700X13701MA

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)Enrolled Order and Referring Only - Other (Physician) (MA)

Part D prescriptions in 2024

Prescriptions (claims)28 · 28 30-day fills
Patients13
Total drug cost$160.27
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$357.44 · 4 payments from 2 companies
  • 2024$100.32 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Straumann USA LLC$263.252
Geistlich Pharma, North America, Inc.$94.192

What the 2025 payments were for

  • Food and Beverage$257.44 · 3 payments
  • Education$100.00 · 1 payment

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

Other Dentist, Prosthodontics providers in Boston

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