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Jack H Koumjian, DDS

Prosthodontics · Palo Alto

NPI 1073629390

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Koumjian’s office at (650) 347-3426 to ask if they take your plan before you enroll.

Drugs they prescribed that Part D paid

$316

Pharmacies billed $316 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 22) in 2024. Too few prescriptions to compare fairly with other clinicians.

17 generic and fewer than 11 brand-name prescriptions · $316 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Chlorhexidine Gluconate17$261$15

Year by year

Part D prescribing by year
202422None0% (0)None$316
202320None0% (0)None$216
202230150% (0)None$276
202131130% (0)0%$351
202034150% (0)0%$477
20193016None0%$680
201815None0% (0)0%$143
201723120% (0)None$202
20164618None0%$330
201541NoneNone0%$248
20144214None0%$395
20133819None0%$504

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Chlorhexidine Gluconate18$133$7

2021: 1 drug

Part D drugs prescribed in 2021
Chlorhexidine Gluconate12$65$5

2020: 1 drug

Part D drugs prescribed in 2020
Chlorhexidine Gluconate11$68$6

2016: 1 drug

Part D drugs prescribed in 2016
Denta 5000 Plus11$90$8

2015: 1 drug

Part D drugs prescribed in 2015
Denta 5000 Plus19$119$6

2014: 1 drug

Part D drugs prescribed in 2014
Denta 5000 Plus18$110$6

2013: 1 drug

Part D drugs prescribed in 2013
Chlorhexidine Gluconate11$103$9

Professional record

NPI
1073629390
Licence
CA 327301
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223P0700X (1223P0700X)
Mailing address
770 Welch Rd, Ste 280, Palo Alto, CA, 94304
NPI first listed
2006-08-21
NPI last updated
2007-12-20

This is when the NPI record was last certified, not a medical board exam.