BALLARD GLENN BLAIR (D.P.M) – Primary Podiatric Medicine Podiatrist, NPI 1356350201
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
266 PODIATRY in CT
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Provider Addresses for BALLARD GLENN BLAIR (D.P.M)
375, Bridgeport Avenue, Shelton, Fairfield County, Connecticut, 06484, United States
SHELTON, CT 06484
Phone: (203) 929-5559
Fax: (203) 929-5277
Mailing address matches the actual address.
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.
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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: 2011-12-13
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 |
|---|---|---|---|---|
| I20111213000339 | I | Podiatry | CT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,039 | 308 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 133 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 98 | 98 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 81 | 18 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 30 | 30 | $0 |
Insurance plans in this area (ZIP 06484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | CT | 11042 | Removal of skin and tissue first 20 sq cm or less | 156 | 50 |
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