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Bradley Packer, D.M.D

NPI 1679966550ActiveIndividual· Dentist· Fort Collins, CO

Opted out of Medicare from February 2021 to February 2027. Dentist (D.M.D) in Fort Collins, Colorado, licensed in CO, with an NPI issued in March 2015. Part D covered 33 prescriptions written in 2024, 85% of them generic. Benco Dental Supply Co. reported $14.60 in payments in 2025, mostly honoraria.

Overview

NPI1679966550
StatusActive
Entity typeIndividual
CredentialD.M.D
Sole proprietorNo
NPI issuedMar 16, 2015
Last updated in NPPESAug 19, 2020
Certified by providerAug 19, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDEN.00202833CO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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-outOpted out Feb 18, 2021 – Feb 18, 2027
Can order and referYes

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)33 · 37 30-day fills
Patients17
Total drug cost$190.41
Generic share85% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$14.60 · 1 payment from 1 company
  • 2024$206.46 · 5 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Benco Dental Supply Co.$14.601

What the 2025 payments were for

  • Honoraria$14.60 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Fort Collins

All 94 dentists in Fort Collins · All dentists in Colorado