Jacquelyn M. Gomez-Bartek, D.D.S.
NPI 1902066335ActiveIndividual· Dentist· Santa Fe, NM
Opted out of Medicare from October 2019 to October 2027. Dentist (D.D.S.) in Santa Fe, New Mexico, licensed in NM, with an NPI issued in June 2008. Part D covered 16 prescriptions written in 2024, 75% of them generic.
Overview
| NPI | 1902066335 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jun 10, 2008 |
| Last updated in NPPES | Oct 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DD2992 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 Oct 23, 2019 – Oct 23, 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) | 16 · 16 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $120.06 |
| Generic share | 75% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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