JENNIFER S OBERSTAR (MD) – Sports Medicine (Family Medicine) Physician, NPI 1073515466

JENNIFER S OBERSTAR (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 44234 (MN). The NPI Number for JENNIFER S OBERSTAR (MD) is 1073515466

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER S OBERSTAR (MD)
NPI
1073515466
Phone
(612) 672-7422
Address
909 FULTON ST SE
Enumeration Date
15 August 2005
Last Update Date
20 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
1999 (27 years ago)
PAC ID
2567470990
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20060328000016
Address ID
MN554550363MI500XXSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

243 SPORTS MEDICINE in MN

Provider Addresses for JENNIFER S OBERSTAR (MD)

  • 909 FULTON ST SE

    MINNEAPOLIS, MN 554554800

    Phone: (612) 672-7422

    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: 2006-03-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060328000016IFamily PracticeMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14623$0
99214Established patient office or other outpatient visit, 30-39 minutes6355$0
99213Established patient office or other outpatient visit, 20-29 minutes4642$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
20610Aspiration and/or injection of fluid from large joint2119$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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Provider's Procedures

JENNIFER S OBERSTAR (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN20610Aspiration and/or injection of large joint or joint capsule2924

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What identifier follows JENNIFER S OBERSTAR (MD) across health systems?
The NPI 1073515466 uniquely identifies JENNIFER S OBERSTAR (MD) in U.S. healthcare data.
Quick check: is JENNIFER S OBERSTAR (MD) active?
Public NPPES data shows JENNIFER S OBERSTAR (MD) with an active NPI status right now.
What type of care does JENNIFER S OBERSTAR (MD) provide?
JENNIFER S OBERSTAR (MD)'s profile centers on Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JENNIFER S OBERSTAR (MD) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, JENNIFER S OBERSTAR (MD) may be relevant to your search.
Why is information missing for JENNIFER S OBERSTAR (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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