Tyler J. Koivisto, DDS
NPI 1588002430ActiveIndividual· Dentist· White Bear Lake, MN
Dentist (DDS) in White Bear Lake, Minnesota, licensed in MN, with an NPI issued in June 2013. Part D covered 33 prescriptions written in 2024, 55% of them generic.
Overview
| NPI | 1588002430 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2013 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D13236 | MN |
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) | Enrolled Practitioner - Oral Surgery (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 41 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $254.50 |
| Generic share | 55% 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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