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
| NPI | 1679966550 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D |
| Sole proprietor | No |
| NPI issued | Mar 16, 2015 |
| Last updated in NPPES | Aug 19, 2020 |
| Certified by provider | Aug 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DEN.00202833 | CO |
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 Feb 18, 2021 – Feb 18, 2027 |
| Can order and refer | Yes |
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 |
|---|---|
| Patients | 17 |
| Total drug cost | $190.41 |
| Generic share | 85% of claims |
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
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $14.60 | 1 |
What the 2025 payments were for
- Honoraria$14.60 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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