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Austin Tyler Eddy, DMD

NPI 1962081471ActiveIndividual· Dentist· Chaparral, NM

Dentist (DMD) in Chaparral, New Mexico, licensed in CO and NM, with an NPI issued in April 2021. Part D covered 74 prescriptions written in 2024, 93% of them generic. Benco Dental Supply Co. reported $60.00 in payments in 2025, mostly honoraria.

Overview

NPI1962081471
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedApr 3, 2021
Last updated in NPPESNov 16, 2023
Certified by providerNov 16, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X00205514CO
Dentist122300000XDD5457NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Part D prescriptions in 2024

Prescriptions (claims)74 · 77 30-day fills
Patients63
Total drug cost$324.19
Generic share93% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$60.00 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Benco Dental Supply Co.$60.001

What the 2025 payments were for

  • Honoraria$60.00 · 1 payment

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

Other Dentist providers in Chaparral

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