Doctor profile · Federal record
Dr. Randy Demetter, DDS
Periodontist · Periodontist · Boise, ID
- NPI 1275941288
- 12 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
140 E Boise Ave
Boise, ID 837064302
(208) 385-9228 - Additional location
-
347 W Iowa Ave
Nampa, ID 836862856
(208) 463-4548
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- April 5, 2023
- Specialty taxonomy
- 1223P0300X — NUCC code
- State licenses (2)
- Idaho #D-4831-PE · Texas #ETN283
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275941288. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$562
Transactions
15
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 12 | $482.71 | |
| Henry Schein, Inc. | 3 | $79.22 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
264
Patients
213
Total drug cost
$1,704
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 126 | 109 | $447 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 91 | 85 | $397 |
| Dexamethasone | Generic | 26 | 0 | $624 |
| Clindamycin Hcl | Generic | 21 | 19 | $237 |
Frequently asked questions
What is Dr. Randy Demetter's medical specialty?
Dr. Randy Demetter practices Periodontist in Boise, ID.
Where does Dr. Randy Demetter practice?
Dr. Randy Demetter practices at 140 E Boise Ave, Boise, ID 837064302. Office phone: 2083859228.
What is Dr. Randy Demetter's NPI?
Dr. Randy Demetter's National Provider Identifier (NPI) is 1275941288, issued by NPPES.