Jeremy Johnston, DMD
NPI 1629639430ActiveIndividual· Dentist, General Practice· Lees Summit, MO
Opted out of Medicare from September 2026 to September 2028. Dentist, General Practice (DMD) in Lees Summit, Missouri, licensed in KS, with an NPI issued in June 2019. Part D covered 24 prescriptions written in 2024, 92% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $78.86 in all, mostly food and beverage.
Overview
| NPI | 1629639430 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 23, 2019 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 61654 | KS |
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 (KS) |
|---|---|
| Opt-out | Opted out Sep 28, 2026 – Sep 28, 2028 |
| 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) | 24 · 24 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $81.43 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
- 2025$78.86 · 2 payments from 2 companies
- 2024$88.17 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $63.13 | 1 |
| Kulzer, LLC | $15.73 | 1 |
What the 2025 payments were for
- Food and Beverage$78.86 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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