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Tracy Deperalta, DMD

NPI 1548519341ActiveIndividual· Dentist· Aurora, CO

Opted out of Medicare from February 2023 to February 2027. Dentist (DMD) in Aurora, Colorado, licensed in CO and MI, with an NPI issued in September 2012.

Overview

NPI1548519341
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedSep 7, 2012
Last updated in NPPESAug 4, 2020
Certified by providerAug 4, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDEN.00204232CO
Dentist, General Practice1223G0001X2901020813MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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-outOpted out Feb 27, 2023 – Feb 27, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Dentist providers in Aurora

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