MARC J BRESLOW (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1619961927
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
340 SPORTS MEDICINE in IL
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Provider Addresses for MARC J BRESLOW (M.D.)
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
SUITE 200
DES PLAINES, IL 600162359
Phone: (847) 375-3000
Type: Mailing
Waukegan Road, Morton Grove, Niles Township, Cook County, Illinois, 60029, United States
SUITE 200
MORTON GROVE, IL 600532127
Phone: (847) 375-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Abbott Laboratories ($84).
Total Amount
$84
General + Research + Ownership
Payments
1
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $84 |
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: 2004-02-16
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 |
|---|---|---|---|---|
| I20040216000201 | I | Sports Medicine | IL | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 806 | 383 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 672 | 268 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 456 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 429 | 275 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 411 | 100 | $0 |
Insurance plans in this area (ZIP 60016)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | HI | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | IN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL |
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