Screening result

NPI 1720475247

Screened 8/24/2026, 3:21:52 AM against OIG LEIE (snapshot 2026-08-17) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.

EXCLUDED
Active federal exclusion in effect.
This NPI carries 1 active OIG exclusion. Do not employ or contract for federal-program work.
Reasons (4)
  • Active OIG exclusion (1128b4) effective unknown date
  • FL osteopathic board suspension (2026-01-15)
  • Active NY Medicaid exclusion (Physician) effective 2026-06-18
  • Active FL Medicaid exclusion (26) effective unknown date

OIG LEIE match detail

NameSpecialtyExclusion typeExcludedReinstated
SUPAN, PETEGENERAL PRACTICE1128b4never

State board sanctions

State / BoardActionDateReinstated
FL osteopathicEmergency Suspension2026-01-15

State Medicaid exclusion match detail

NameStateProvider typeExclusion dateNPI
SUPAN PETENYPhysician2026-06-181720475247
SUPAN PETEFL261720475247

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Source + audit trail

NPI screened
1720475247
Screen timestamp
8/24/2026, 3:21:52 AM
OIG LEIE snapshot
2026-08-17
State boards consulted
(none with active adapters)
Risk band
EXCLUDED
Risk score
310
Matches found
4
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ProviderScore — Sanctions Screening Record
Record generated 8/24/2026, 3:21:52 AM
NPI 1720475247
EXCLUDED Active federal exclusion in effect.
Screened 8/24/2026, 3:21:52 AM
Lists checked
Source listResultDetail
OIG LEIE (federal exclusions)FLAGGED (1)snapshot 2026-08-17
State board sanctionsFLAGGED (1)40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
State Medicaid exclusionsFLAGGED (2)
SAM.gov / GSA exclusionsClear
OFAC SDN (Treasury)Clear
FDA debarmentClear
Findings (4)
  • Active OIG exclusion (1128b4) effective unknown date
  • FL osteopathic board suspension (2026-01-15)
  • Active NY Medicaid exclusion (Physician) effective 2026-06-18
  • Active FL Medicaid exclusion (26) effective unknown date
Source + audit trail
NPI screened1720475247
Screen timestamp8/24/2026, 3:21:52 AM
OIG LEIE snapshot2026-08-17
State boards coveredAK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
Risk bandEXCLUDED
Risk score310
Total matches4
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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