JOHN RICHARD COLLINGHAM (M.D.) – Emergency Medicine Physician, NPI 1356379721
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for JOHN RICHARD COLLINGHAM (M.D.)
11350 CIRCLE RIDGE LN
FARIBAULT, MN 550217275
Phone:
Type: Mailing
17021 US Highway 441
Mount Dora, FL 327576734
Phone: (352) 265-5911
Type: Location
8170 OLD CARRIAGE CT STE 100
SHAKOPEE, MN 553793164
Phone: (952) 428-3600
Fax: (952) 428-3636
Type: Mailing
North Avenue, Northfield, Adelaide, City of Port Adelaide Enfield, South Australia, 5085, Australia
NORTHFIELD, MN 550571498
Phone: (507) 646-1000
Type: Location
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: 2022-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040206000627 | I | Emergency Medicine | MN | TBD |
| I20220319000050 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 230 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 186 | 165 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 128 | 29 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 107 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 99 | 99 | $0 |
Insurance plans in this area (ZIP 55021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine, Family Practice | FL | |
| Family Practice | FL |
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