Kelly Weaver, DDS
NPI 1578884235ActiveIndividual· Dentist· Blackfoot, ID
Dentist (DDS) in Blackfoot, Idaho, licensed in ID, with an NPI issued in June 2010. Part D covered 53 prescriptions written in 2024, 94% of them generic.
Overview
| NPI | 1578884235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2010 |
| Last updated in NPPES | Mar 8, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D4298 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 53 · 53 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $208.68 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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