Ethan D. Moulton, D.D.S.,M.S.
Periodontics · Idaho Falls, ID
Ethan D. Moulton, D.D.S.,M.S. is a periodontics with a practice address in Idaho Falls, Idaho, and NPI 1740222579, issued on Jun 13, 2006. Check the license (Idaho D-4093-PE, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan D. Moulton
- Credential
- D.D.S.,M.S.
- Primary taxonomy
- Periodontics 1223P0300X
- License numbers
- D-4093-PE ID
5588 OK
Self-reported in NPPES; status is on the state search - Practice location
- 2375 E Sunnyside RD Ste I, Idaho Falls, ID 83404
- Phone
- (208) 522-6683
- Enumerated
- Jun 13, 2006
- Record last updated
- Sep 16, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (208) 552-3085
- Entity
- Type 1 · individual
8 nearest periodontics records → All 19 in Idaho → Look up another NPI →
Also registered at 2375 E Sunnyside RD Ste I
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Naglaa BargelskiPhysician Assistant1669940110
Verify Ethan D. Moulton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license D-4093-PECheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average periodontics in 2024
128 Medicare Part D claims for 61 beneficiaries, against an average of 277 among the 4,191 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 23 claims were for opioids.
Most prescribed
- Amoxicillin35 claims
- Doxycycline Hyclate26 claims
- Metronidazole22 claims
- Hydrocodone-Acetaminophen17 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $10.31
1 payment: food and beverage; the largest payer was Geistlich Pharma, North America, Inc. The 2,966 providers of this specialty with any payment received $1,338.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Ethan D. Moulton among 19 periodontics records in Idaho
Ethan D. Moulton, D.D.S.,M.S. is one of 19 periodontics records with a practice address in Idaho. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 42% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 0% of these records are
- Record last updated2007 · 84% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0300X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Periodontics providers in Idaho
There are 19 periodontics records in Idaho.
All 19 in Idaho → Every provider in Idaho Falls → Periodontics nationwide →
The 8 periodontics records with the nearest ZIP codes
- Richard Davis, DMDIdaho Falls, ID 834011316670698
- Jason Peterson, DDSIdaho Falls, ID 834011225255748
- Bradley Morlock, D.D.S.Lewiston, ID 835011497853220
- Joel Newton, DDSTwin Falls, ID 833011497835599
- Douglas AkersPocatello, ID 832011356351993
- Bruce Richardson, D.D.S.Meridian, ID 836421306959424
- Richard Ferguson, D.D.S., M.S.Boise, ID 837031710050943
- Stephen Schenk, D.D.S., M.S.Boise, ID 837041871765974
Common questions
What is Ethan D. Moulton, D.D.S.,M.S.'s NPI number?
Ethan D. Moulton, D.D.S.,M.S.'s National Provider Identifier (NPI) is 1740222579, issued on Jun 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ethan D. Moulton, D.D.S.,M.S. located?
The NPPES record lists a practice address at 2375 E Sunnyside RD Ste I, Idaho Falls, ID, 83404. Phone: (208) 522-6683. Providers update this record themselves, so call before visiting.
How can I verify Ethan D. Moulton, D.D.S.,M.S.'s license?
NPPES lists Idaho license number D-4093-PE, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
How much does Ethan D. Moulton, D.D.S.,M.S. prescribe under Medicare Part D?
In 2024, Ethan D. Moulton, D.D.S.,M.S. had 128 Medicare Part D claims for 61 beneficiaries; the average among periodontics prescribers was 277. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.