Kelly Ingraham
NPI 1629606199ActiveIndividual· Dentist, Prosthodontics· Rochester, MN
Dentist, Prosthodontics in Rochester, Minnesota, trained at Harvard School of Dental Medicine (class of 2020). Part D covered 15 prescriptions written in 2024.
Overview
| NPI | 1629606199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 31, 2020 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | D14374 | MN |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | D14374 | MN |
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 Practitioner - Prosthodontics (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 15 30-day fills |
|---|---|
| Total drug cost | $187.23 |
Education and affiliations
| Medical school | Harvard School of Dental Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Prosthodontics |
Medical group
- Mayo ClinicRochester, MN · 4,956 clinicians
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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