Dr. Katelyn Mack , DMD
Dentist • Yukon, OK
4425 Grant Blvd. Custom Dental Of Yukon
Yukon, OK 73099
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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NPI assigned on July 3, 2015; this date does not establish years in practice.
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Published CMS data list 34 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 — 18 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 16 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 the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 65% of clinicians listed under Dentist in Oklahoma (2024, 526 clinicians with data). Median for this group: 51. Middle half: 26 to 112.
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 57 in 2020 to 34 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
4425 Grant Blvd. Custom Dental Of Yukon
Yukon, OK 73099
What Public CMS Data Show
Dentist: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
34 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
$103 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $16.12 in 2025
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.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
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 2025.
NPI first issued
2015
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 Yukon and Oklahoma
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Dentist in Oklahoma (2024, 526 clinicians with data). Median for this group: 51. Middle half: 26 to 112.
Too few clinicians listed under Dentist in Yukon have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Dentist in Oklahoma (2024, 526 clinicians with data). Median for this group: $189. Middle half: $79 to $420.
Too few clinicians listed under Dentist in Yukon have Medicare Part D data for 2024 to compare.
12 active clinicians are listed under Dentist with a practice address in Yukon, OK (1,059 in Oklahoma).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Yukon
0% of these 12 clinicians have the CMS telehealth indicator.
0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.
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 decreased 40% from 57 in 2020 to 34 in 2024.
- 2020: 57
- 2021: 79
- 2022: 91
- 2023: 54
- 2024: 34
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30-day fills
30-day fills decreased 40% from 57 in 2020 to 34 in 2024.
- 2020: 57
- 2021: 79
- 2022: 91
- 2023: 54
- 2024: 34
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Part D drug cost
Part D drug cost went from $224 in 2020 to $103 in 2024.
- 2020: $224
- 2021: $357
- 2022: $398
- 2023: $220
- 2024: $103
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $909.32 in 2021 to $16.12 in 2025.
- 2021: $909.32
- 2022: $13.11
- 2023: $480.18
- 2024: $41.12
- 2025: $16.12
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 $16.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Philips North America LLC |
Food and Beverage
Cash or cash equivalent
|
Oral Health Care Undivided | General | $16.12 |
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 | 18 | 125 | $39.21 | 16 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 51 | $63.98 | 13 |
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: 122300000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4425 GRANT BLVD. CUSTOM DENTAL OF YUKON, YUKON, OK 73099 (Tel: 4054944877)
Registered at 4425 GRANT BLVD., YUKON, OK 73099 (Tel: 4054944877)
Recorded as KATELYN MACK, DMD
NPI status registered as active in NPPES database
Registered at 5103 N SHARTEL AVE, OKLAHOMA CITY, OK 731186049 (Tel: 4058421115)
Registered at 5103 N SHARTEL AVE, OKLAHOMA CITY, OK 731186049 (Tel: 9188399088)
Recorded as KATELYN JOHNSON, DMD
Dentist (license number reported to NPPES: OK 6738)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentists in Yukon
- Armin Zarkeshan, DD
- David Reiter
- Dr. Rick Willingham, DDS
- Dr. Brian Shelton, DDS
- Dr. Tamara Berg, DDS
- Dr. Ryan Boles, DDS
Mailing Address
4425 Grant Blvd.
Yukon, OK 73099
Phone: 4054944877