Dr. Joseph Daniel Flechas , DDS
Dentist - General Practice • Townsend, MT
422 Broadway St
Townsend, MT 596442322
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Joseph Flechas is listed in NPPES under Dentist - General Practice.
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NPI assigned on June 10, 2010; this date does not establish years in practice.
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Published CMS data list 280 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amoxicillin — 198 prescription fills, including refills.
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 32 prescription fills, including refills.
- Clindamycin Hcl — 26 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Montana (2024, 226 clinicians with data). Median for this group: 33. Middle half: 20 to 67.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 115 in 2020 to 280 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
422 Broadway St
Townsend, MT 596442322
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Billings, MT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
280 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
$856 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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.
Open Payments general payments, program year 2025
All general payments: $248.44 across 6 records.
By nature of payment
- Education: $125.00 across 1 record.
- Food and Beverage: $114.74 across 4 records.
- Gift: $8.70 across 1 record.
Reporting-company totals
- Align Technology, Inc.: $248.44 across 6 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2010
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?”
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.
Compared with the same specialty in Townsend and Montana
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Montana (2024, 226 clinicians with data). Median for this group: 33. Middle half: 20 to 67.
Too few clinicians listed under Dentist - General Practice in Townsend have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Montana (2024, 226 clinicians with data). Median for this group: $99. Middle half: $53 to $231.
Too few clinicians listed under Dentist - General Practice in Townsend have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Dentist - General Practice with a practice address in Townsend, MT (465 in Montana).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 143% from 115 in 2020 to 280 in 2024.
- 2020: 115
- 2021: 94
- 2022: 123
- 2023: 237
- 2024: 280
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30-day fills
30-day fills increased 143% from 115 in 2020 to 280 in 2024.
- 2020: 115
- 2021: 94
- 2022: 123
- 2023: 237
- 2024: 280
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Part D drug cost
Part D drug cost went from $318 in 2020 to $856 in 2024.
- 2020: $318
- 2021: $271
- 2022: $500
- 2023: $950
- 2024: $856
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $60.00 in 2020 to $248.44 in 2025.
- 2020: $60.00
- 2021: $172.00
- 2022: $23.33
- 2023: $11.50
- 2025: $248.44
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $248.44.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Align Technology, Inc. |
Education
Cash or cash equivalent
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Invisalign | General | $125.00 |
| Align Technology, Inc. |
Food and Beverage
Cash or cash equivalent
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Invisalign | General | $37.64 |
| Align Technology, Inc. |
Food and Beverage
Cash or cash equivalent
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Invisalign | General | $37.33 |
| Align Technology, Inc. |
Food and Beverage
Cash or cash equivalent
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Invisalign | General | $29.58 |
| Align Technology, Inc. |
Food and Beverage
Cash or cash equivalent
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Invisalign | General | $10.19 |
| Align Technology, Inc. |
Gift
Cash or cash equivalent
|
Invisalign | General | $8.70 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amoxicillin | Amoxicillin | 198 | 882 | $439.59 | 144 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 32 | 98 | $164.83 | 29 |
| Clindamycin Hcl | Clindamycin Hcl | 26 | 134 | $125.70 | 18 |
| Cephalexin | Cephalexin | 24 | 193 | $126.16 | 21 |
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
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
2900 Central Ave
Billings, MT 591028626
Phone: 4066566100
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Dentist (license number reported to NPPES: CA 58924)
NPI status registered as active in NPPES database
Registered at 422 BROADWAY ST, TOWNSEND, MT 596442322 (Tel: 4062663402)
Registered at 422 BROADWAY ST, TOWNSEND, MT 596442322 (Tel: 4062663402)
Recorded as JOSEPH FLECHAS, DDS
Dentist (license number reported to NPPES: CA 58924)
NPI status registered as active in NPPES database
Registered at 2900 CENTRAL AVE, BILLINGS, MT 591028626 (Tel: 4066566100)
Registered at 2900 CENTRAL AVE, BILLINGS, MT 591028626 (Tel: 4066566100)
Recorded as JOSEPH FLECHAS, DDS
Dentist (license number reported to NPPES: MT 4064)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
422 Broadway St
Townsend, MT 596442322
Phone: 4062663402