Earl Thomas Elstner Jr., D.M.D.
NPI 1851393185ActiveIndividual· Dentist, General Practice· Fredericksburg, VA
Opted out of Medicare from September 2012 to September 2028. Dentist, General Practice (D.M.D.) in Fredericksburg, Virginia, licensed in VA, with an NPI issued in May 2005. Part D covered 140 prescriptions written in 2024, 46% of them generic. A-Dec, Inc. reported $465.00 in payments in 2025, mostly gifts.
Overview
| NPI | 1851393185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 05063 | VA |
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 Sep 28, 2012 – Sep 28, 2028 |
| 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) | 140 · 288 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $2,109 |
| Generic share | 46% of claims |
Industry payments (Open Payments)
- 2025$465.00 · 4 payments from 1 company
- 2024$161.98 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| A-Dec, Inc. | $465.00 | 4 |
What the 2025 payments were for
- Gift$465.00 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 93 general dentists in Fredericksburg · All general dentists in Virginia