JUSTIN THOMAS EGLSEDER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1124525779
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in CT
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Provider Addresses for JUSTIN THOMAS EGLSEDER (MD)
1351, Washington Boulevard, Northfield, Stamford, Fairfield County, Connecticut, 06902, United States
STAMFORD, CT 069022419
Phone: (203) 276-1000
Type: Mailing
5601 96TH AVE N STE 200
BROOKLYN PARK, MN 554434505
Phone: (763) 786-9543
Fax: (763) 786-3320
Type: Location
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 554224841
Phone: (952) 512-5600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220909001888 | I | Sports Medicine | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 400 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 321 | 161 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 293 | 60 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 201 | 127 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 122 | 122 | $0 |
Insurance plans in this area (ZIP 06902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL |
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