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Derek Gene Petersen, D.D.S.

NPI 1487887451ActiveIndividual· Dentist, General Practice· Broomfield, CO

Dentist, General Practice (D.D.S.) in Broomfield, Colorado, licensed in CO, with an NPI issued in August 2009. Part D covered 21 prescriptions written in 2024, 100% of them generic. Envista Holdings Corporation reported $64.54 in payments in 2025, mostly food and beverage.

Overview

NPI1487887451
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedAug 25, 2009
Last updated in NPPESFeb 5, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X9978CO

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 - Oral Surgery (CO)

Part D prescriptions in 2024

Prescriptions (claims)21 · 21 30-day fills
Patients17
Total drug cost$128.20
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$64.54 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Envista Holdings Corporation$64.541

What the 2025 payments were for

  • Food and Beverage$64.54 · 1 payment

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

Other general dentists in Broomfield

All 47 general dentists in Broomfield · All general dentists in Colorado