Anthony Ray Surratt, DMD
NPI 1922623529ActiveIndividual· Dentist· Aberdeen, WA
Opted out of Medicare from April 2022 to April 2028. Dentist (DMD) in Aberdeen, Washington, licensed in WA, with an NPI issued in June 2020. Part D covered 52 prescriptions written in 2024, 90% of them generic. Ultradent Products Inc reported $578.42 in payments in 2025, mostly gifts.
Overview
| NPI | 1922623529 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Jun 10, 2020 |
| Last updated in NPPES | Sep 3, 2021 |
| Certified by provider | Sep 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 61061366 | WA |
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 Apr 14, 2022 – Apr 14, 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) | 52 · 54 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $376.19 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
- 2025$578.42 · 4 payments from 1 company
- 2024$969.99 · 21 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $578.42 | 4 |
What the 2025 payments were for
- Gift$567.97 · 3 payments
- Food and Beverage$10.45 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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