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Dr. Ethan G Farr , DDS

Dentist - General Practice β€’ Appleton, WI

Active NPI 1609550169 Individual Practitioner Male Practitioner
Practice location in NPPES

4082 N Richmond St
Appleton, WI 549139704

Call 9207349148 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

4082 N Richmond St

Appleton, WI 549139704

Telephone 9207349148
Organization at the Same NPPES Address or Phone
Timbercrest Dental Center, S.c. Facility NPI 1356414114

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

30-day fills

18 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

$49 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 $15.58 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

2023

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, β€œDoes 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 Appleton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Dentist - General Practice in Appleton, WI (2024, 38 clinicians with data). Median for this group: 31. Middle half: 18 to 61.

Fewer Part D prescriptions than 75% of clinicians listed under Dentist - General Practice in Wisconsin (2024, 978 clinicians with data). Median for this group: 38. Middle half: 20 to 69.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Dentist - General Practice in Appleton, WI (2024, 38 clinicians with data). Median for this group: $130. Middle half: $70 to $292.

A lower Part D drug cost than 80% of clinicians listed under Dentist - General Practice in Wisconsin (2024, 978 clinicians with data). Median for this group: $116. Middle half: $58 to $250.

79 active clinicians are listed under Dentist - General Practice with a practice address in Appleton, WI (2,308 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 79 clinicians have the CMS telehealth indicator.

0% of these 79 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 Β· 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 Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $15.58.

Manufacturer Payment Nature Product Type Amount ($)
Solventum Corporation
Food and Beverage
Cash or cash equivalent
CLINPRO 5000 General $15.58

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 Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 18 127 $48.56 17

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

Self-certified to NPPES: 2026-05-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 6001184

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.

Durable Medical Equipment & Medical Supplies - Customized Equipment

NUCC Taxonomy Code: 332BC3200X

License # reported to NPPES WI 6001184
Clinic/Center - Multi-Specialty

NUCC Taxonomy Code: 261QM1300X

License # reported to NPPES WI 6001184
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: Wisconsin Department of Safety and Professional Services.
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 1457424210

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 13, 2026

Registered at 4082 N RICHMOND ST, APPLETON, WI 549139704 (Tel: 9207349148)

πŸ“
Updated Business Mailing Address May 13, 2026

Registered at 5433 N JASPER LN, APPLETON, WI 549132776 (Tel: 9206605799)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2026

Durable Medical Equipment & Medical Supplies (license number reported to NPPES: WI 6001184)

βœ…
NPI Profile Active June 14, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2023

Registered at 1163 GRAND AVE, HARTFORD, WI 530272458 (Tel: 2626737826)

πŸ“
Business Mailing Address (Initial Record) June 14, 2023

Registered at 2444 SAND DOLLAR CT, SUAMICO, WI 543137986 (Tel: 9206605799)

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2023

Recorded as ETHAN FARR, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2023

Dentist (license number reported to NPPES: WI 6001184)

🟒
Initial NPI Registration & Enumeration June 14, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609550169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2023
Last Update: May 13, 2026
Sole Proprietor: No

Other Dentist - General Practices in Appleton

All Dentist - General Practices in Appleton

Mailing Address

5433 N Jasper Ln

Appleton, WI 549132776

Phone: 9206605799

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.