Lisa Gabrielle Salloum, D.D.S.
NPI 1588809206ActiveIndividual· Dentist, Periodontics· Jacksonville, FL
Opted out of Medicare from March 2021 to March 2027. Dentist, Periodontics (D.D.S.) in Jacksonville, Florida, licensed in FL, with an NPI issued in December 2008. Part D covered 417 prescriptions written in 2024, 84% of them generic. Zimvie Inc. reported $100.00 in payments in 2024, mostly education.
Overview
| NPI | 1588809206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Dec 9, 2008 |
| Last updated in NPPES | Dec 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | DN12847 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|---|
| Opt-out | Opted out Mar 25, 2021 – Mar 25, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 417 · 428 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $1,465 |
| Generic share | 84% of claims |
Industry payments (Open Payments)
- 2024$100.00 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $100.00 | 2 |
What the 2024 payments were for
- Education$100.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 periodontists in Jacksonville · All periodontists in Florida