DR. COLBY C UPTEGRAFT (MD, MPH, MBI) – Clinical Informatics Physician, NPI 1316385156
Clinical Informatics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 PREVENTIVE MEDICINE in MA
Provider Addresses for DR. COLBY C UPTEGRAFT (MD, MPH, MBI)
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (301) 295-3717
Fax: (617) 355-5535
Type: Mailing
JOINT BASE ANACOSTIA-BOLLING CLINIC
238 BROOKLEY AVE SW, BLDG #1300
JOINT BASE ANACOSTIA-BOLLING, DC 20032
Phone: (202) 404-5512
Type: Location
8703 SUDBURY PL
ALEXANDRIA, VA 223092566
Phone: (828) 851-9534
Type: Mailing
7700 ARLINGTON BLVD
FALLS CHURCH, VA 220422929
Phone: (202) 527-9636
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2026-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20230801002298 | I | Preventive Medicine | WI | TBD |
| I20250218003177 | I | Preventive Medicine | OH | TBD |
| I20250323000001 | I | Preventive Medicine | VA | TBD |
| I20250714000799 | I | Preventive Medicine | IL | TBD |
| I20250717000973 | I | Preventive Medicine | MI | TBD |
| I20260203002259 | I | Preventive Medicine | WV | TBD |
| I20260306000616 | I | Family Practice | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02115)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.