Mark A. Brunner, DDS
NPI 1891714135ActiveIndividual· Dentist, Periodontics· Jenison, MI
Opted out of Medicare from August 2018 to August 2028. Dentist, Periodontics (DDS) in Jenison, Michigan, licensed in GA, with an NPI issued in July 2006. Part D covered 17 prescriptions written in 2024, 100% of them generic. 3shape A/S reported $30.00 in payments in 2025, mostly speaking and faculty fees.
Overview
| NPI | 1891714135 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 12499 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Aug 1, 2018 – Aug 1, 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) | 17 · 19 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $60.98 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$30.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| 3shape A/S | $30.00 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$30.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records