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Paul Wayne Chadbourn, D.D.S.

NPI 1912044637ActiveIndividual· Dentist, General Practice· Blaine, MN

Opted out of Medicare from August 2015 to August 2027. Dentist, General Practice (D.D.S.) in Blaine, Minnesota, licensed in MN, with an NPI issued in January 2007. Part D covered 30 prescriptions written in 2024.

Overview

NPI1912044637
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedJan 31, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X8429MN

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 Aug 18, 2015 – Aug 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)30 · 44 30-day fills
Total drug cost$732.85

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other general dentists in Blaine

All 51 general dentists in Blaine · All general dentists in Minnesota