DR. GENEVIEVE MONTAGU VON WALSTROM (MD, MPH) – Public Health & General Preventive Medicine Physician, NPI 1962797696
Public Health & General Preventive Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24 PREVENTIVE MEDICINE in CT
Provider Addresses for DR. GENEVIEVE MONTAGU VON WALSTROM (MD, MPH)
2310 BIGELOW CMNS
ENFIELD, CT 060823342
Phone: (203) 554-8803
Type: Mailing
17 WALL ST
MADISON, CT 064433122
Phone: (203) 779-5126
Fax: (203) 245-0572
Type: Location
322 E MAIN ST STE 1B
BRANFORD, CT 064053136
Phone:
Type: Mailing
687 CAMPBELL AVE
WEST HAVEN, CT 065163774
Phone: (203) 932-6481
Fax: (203) 932-4051
Type: Location
501 FARMINGTON AVE
FARMINGTON, CT 060321901
Phone: (860) 674-4334
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: 2018-02-14
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 |
|---|---|---|---|---|
| I20180214001840 | I | Preventive Medicine | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT | |
| - | CT |
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