Providers
All 25 in MA
SCOTT GOODSON CALE, DMD
NPI 1972519056, individual, Wellesley, MA, Dentist
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since April 13, 2023.
- Medicaid still paid claims in 15 later months, $25,150 in total.
score 94 of 100, rank 227, $25K at stake
Public list actions
Medicare revocation effective April 13, 2023, barred from re-enrolling until April 13, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Order And Referring Only - Other (Physician), MA
OIG exclusion November 20, 2024 under section 1128a1
Ind- Lic HC Serv Pro, Dentist, Chelmsford, MA
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Apr 13, 2023 | Apr 13, 2033 | 15 | May 2023 | Nov 2024 | $25K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SCOTT GOODSON CALE, DMD |
| Type | Individual |
| Status | Active |
| NPI issued | July 31, 2006, last updated July 22, 2014 |
| Practice location | 888 WORCESTER ST, SUITE 130, Wellesley, MA 02482-3744, 617-964-6681 |
| Specialties | Dentist (122300000X, primary, license 18419 MA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| D1110 | Medicaid service code | $71K | 55% | $44 | $45 (top 5% from $86) | 43rd percentile | |
| D0150 | Medicaid service code | $21K | 16% | $33 | $35 (top 5% from $66) | 44th percentile | |
| D0120 | Medicaid service code | $20K | 15% | $20 | $26 (top 5% from $63) | 21st percentile | |
| D9410 | Medicaid service code | $8K | 6% | $36 | $32 (top 5% from $166) | 57th percentile | |
| D1206 | Medicaid service code | $5K | 4% | $30 | $18 (top 5% from $32) | too few months to rank | |
| D0140 | Limited oral evaluation - problem focused | $2K | 2% | $40 | $29 (top 5% from $60) | too few months to rank | |
| D0210 | Medicaid service code | $2K | 1% | $69 | $47 (top 5% from $78) | too few months to rank | |
| D0220 | Medicaid service code | $640 | 0% | $15 | $11 (top 5% from $19) | too few months to rank |
In this area
25 providers in Norfolk County, MA carry an indicator in the public record, with $17.9M at stake between them. The most common is part of a provider network, on 15 of them, followed by more hours than a day holds on 6. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | FORTITUDE COUNSELING & RECOVERY CENTER, LLC Quincy, MA, ranked 118 | $172K |
|
| 1 | PHARMAGEARS LLC Walpole, MA, ranked 462 | $0 |
|
| 3 | 95 COMMERCIAL LLC Braintree, MA, ranked 1120 | $596K |
|
| 3 | MEDWAY COUNTRY MANOR, INC. Medway, MA, ranked 1205 | $344K |
|
| 3 | STOUGHTON OPCO, LLC Stoughton, MA, ranked 1501 | $18K |
|
| 3 | ALLIANCE HEALTH OF SOUTHEASTERN MASSACHUSETTS, INC. Braintree, MA, ranked 1626 | $3K |
|
| 3 | HEBREW SENIORLIFE HOSPICE CARE, INC. Dedham, MA, ranked 1670 | $660 |
|
| 3 | ALLIANCE HEALTH OF QUINCY, INC. Quincy, MA, ranked 1703 | $209 |
|
Recent enforcement in MA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedSep 4, 2026
Illegal Alien from Georgia Charged for Conspiracy to Launder Proceeds of $1.3B Health Care Fraud Scheme
Gugava purportedly owned ND Medical Solutions LLC, a durable medical equipment company that submitted at least $1.3 billion in fraudulent DME claims to Medicare and other insurers using stolen identities, and he opened bank accounts to deposit and transfer the fraud proceeds to overseas accounts.
DOJIndictedSep 4, 2026
Georgian National Charged for Conspiracy to Launder Proceeds of $1.3 Billion Health Care Fraud Scheme
Gugava allegedly served as purported owner of ND Medical Solutions, LLC, which submitted at least $1.3 billion in fraudulent durable medical equipment claims to Medicare and private insurers using stolen identities, and he opened bank accounts to deposit and transfer the proceeds overseas.
DOJSentencedAug 20, 2026
Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud Scheme
Through his telemedicine companies, Richardson generated prepopulated durable medical equipment orders signed by doctors and nurses without beneficiary contact and sold them to telemarketers who resold them to DME suppliers that billed Medicare for medically unnecessary equipment.
DOJCivil settlementAug 10, 2026
Veloxis Pharmaceuticals Agrees to Pay $46 Million to Resolve Criminal and Civil Liability for Kickback Scheme
Veloxis paid kickbacks in the form of lavish meals, alcohol, luxury resort stays, personal gifts and sham consulting payments to transplant health care professionals, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, causing false claims to federal health care programs and underreporting payments under the Open Payments Program.
DOJCivil settlementAug 10, 2026
Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback Schemes
Veloxis paid kickbacks in the form of lavish meals, alcohol, gifts, trips and resort stays, and purported consulting fees to health care providers, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, and concealed those payments through falsified expense reports that resulted in underreporting to CMS's Open Payments Program.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.