Timothy V. Erdle, D.M.D.
NPI 1962816603ActiveIndividual· Dentist, Periodontics· Gurnee, IL
Dentist, Periodontics (D.M.D.) in Gurnee, Illinois, licensed in IL and PA, with an NPI issued in June 2014. Part D covered 361 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1962816603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2014 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 019030597 | IL |
| Dentist, Periodontics | 1223P0300X | DS039810 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 361 · 368 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $1,259 |
| Generic share | 99% 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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