Rock Tyler Shadduck, DMD
General Practice Dentistry · Wyncote, PA
Rock Tyler Shadduck, DMD is a general practice dentistry with a practice address in Wyncote, Pennsylvania, and NPI 1124642392, issued on Jun 3, 2020. Check the license (Pennsylvania DS042686, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Rock Tyler Shadduck
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- DS042686 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1000 Easton RD Ste 465, Wyncote, PA 19095
- Phone
- (267) 367-5014
- Enumerated
- Jun 3, 2020
- Record last updated
- Jun 3, 2020 (not updated in 6 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 4,612 in Pennsylvania → Look up another NPI →
Also registered at 1000 Easton RD Ste 465
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Suraj Bhogal, DMDDentist1396363693
- Quincy Wang, DDSDentist1568031839
Verify Rock Tyler Shadduck in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license DS042686Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
70% fewer Medicare Part D claims than the average general practice dentistry in 2024
25 Medicare Part D claims for 22 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Amoxicillin17 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: $30.62
2 payments; by number, the most common kind was food and beverage; the largest payer was Align Technology, Inc. The 41,669 providers of this specialty with any payment received $597.01 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.
Rock Tyler Shadduck among 4,612 general practice dentistry records in Pennsylvania
Rock Tyler Shadduck, DMD is one of 4,612 general practice dentistry records with a practice address in Pennsylvania. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 86% of them.
- NPI issued2020 · 86% of these records are older, 12% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2020 · 76% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Dentistry providers in Pennsylvania
There are 4,612 general practice dentistry records in Pennsylvania.
All 4,612 in Pennsylvania → Every provider in Wyncote → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Victoria Galenas, DMDWyncote, PA 190951538848189
- Domenic Baglivo, D.M.D.Wynnewood, PA 190961952413569
- Steven Danzig, D.D.S.Wynnewood, PA 190961487628319
- Thomas Definnis, D.M.D., P.C.Wynnewood, PA 190961770612624
- Nancy Dipietro, D.D.S.Wynnewood, PA 190961437123163
- William Snider, D.M.D.Wynnewood, PA 190961497917785
- Howard Weinstock, D.D.S.Wynnewood, PA 190961780655563
- Russell Young, D.D.S.Woodlyn, PA 190941003977331
Common questions
What is Rock Tyler Shadduck, DMD's NPI number?
Rock Tyler Shadduck, DMD's National Provider Identifier (NPI) is 1124642392, issued on Jun 3, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Rock Tyler Shadduck, DMD located?
The NPPES record lists a practice address at 1000 Easton RD Ste 465, Wyncote, PA, 19095. Phone: (267) 367-5014. Providers update this record themselves, so call before visiting.
How can I verify Rock Tyler Shadduck, DMD's license?
NPPES lists Pennsylvania license number DS042686, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Rock Tyler Shadduck, DMD prescribe under Medicare Part D?
In 2024, Rock Tyler Shadduck, DMD had 25 Medicare Part D claims for 22 beneficiaries; the average among general practice dentistry prescribers was 83. 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.