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Dr. Roger Paul Valliere , DDS

Dentist • Fort Wayne, IN

Active NPI 1013116706 Individual Practitioner Male Practitioner
Practice location in NPPES

1330 E State Blvd
Fort Wayne, IN 468054422

Call 2604845614 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1330 E State Blvd

Fort Wayne, IN 468054422

Telephone 2604845614
Organization at the Same NPPES Address or Phone
Summit City Smiles Facility NPI 1083080386

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

13 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$30 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $24.38 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Wayne and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Dentist in Fort Wayne, IN (2024, 59 clinicians with data). Median for this group: 62. Middle half: 34 to 91.

Fewer Part D prescriptions than 95% of clinicians listed under Dentist in Indiana (2024, 853 clinicians with data). Median for this group: 62. Middle half: 31 to 116.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Dentist in Fort Wayne, IN (2024, 59 clinicians with data). Median for this group: $150. Middle half: $63 to $301.

A lower Part D drug cost than 90% of clinicians listed under Dentist in Indiana (2024, 853 clinicians with data). Median for this group: $165. Middle half: $70 to $355.

102 active clinicians are listed under Dentist with a practice address in Fort Wayne, IN (1,583 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

0% of these 102 clinicians have the CMS telehealth indicator.

0% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $24.38.

Manufacturer Payment Nature Product Type Amount ($)
Neurocrine Biosciences, Inc.
Food and Beverage
In-kind items and services
INGREZZA General $24.38

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 13 20 $30.05 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IN 12010249A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1528598638

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

📍
Updated Business Mailing Address June 29, 2017

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as ROGER VALLIERE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Dentist (license number reported to NPPES: IN 12010249A)

âś…
NPI Profile Active July 13, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 13, 2007

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

📍
Business Mailing Address (Initial Record) July 13, 2007

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

👤
Provider Name / Credentials (Initial Record) July 13, 2007

Recorded as ROGER VALLIERE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2007

Dentist (license number reported to NPPES: IN 12010249A)

🟢
Initial NPI Registration & Enumeration July 13, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013116706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2007
Last Update: June 29, 2017
Sole Proprietor: Yes

Other Dentists in Fort Wayne

All Dentists in Fort Wayne

More public profiles in Indiana

Directory navigation, in NPI number order.

Mailing Address

1330 E State Blvd

Fort Wayne, IN 468054422

Phone: 2604845614

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.