DR. MATTHEW TODD DESJARDINS (MD) – Sports Medicine (Family Medicine) Physician, NPI 1699777847
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 SPORTS MEDICINE in KY
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Provider Addresses for DR. MATTHEW TODD DESJARDINS (MD)
South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Fax: (859) 301-0655
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.
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: 2004-08-11
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 |
|---|---|---|---|---|
| I20040811001176 | I | Sports Medicine | KY | 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 |
|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 18,006 | 245 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,672 | 101 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 784 | 250 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 296 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 197 | 164 | $0 |
Insurance plans in this area (ZIP 41017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | KY | 62311 | Injections of substances into lower or sacral spine | 151 | 103 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | KY | |
| Physical Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physician Assistant | KY | |
| P O D I A T R Y | OH | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY | |
| Physician Assistant | OH | |
| Physical Medicine And Rehabilitation | OH |
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