Kenneth Lee Myracle, D.M.D.
NPI 1588862254ActiveIndividual· Dentist, General Practice· Mattoon, IL
Dentist, General Practice (D.M.D.) in Mattoon, Illinois, with an NPI issued in July 2007. Part D covered 206 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1588862254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 4, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | IL |
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) | Enrolled Order and Referring Only - Dentist (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 206 · 206 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $390.02 |
| Generic share | 100% 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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