DR. LESLIE GLEN MASSOGLIA (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1992780712

DR. LESLIE GLEN MASSOGLIA (MD) is a healthcare provider. based in Vadnais heights, Minnesota. specializing in ADDICTION MEDICINE, HOSPICE/PALLIATIVE CARE, FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 43602 (MN). The NPI Number for DR. LESLIE GLEN MASSOGLIA (MD) is 1992780712

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESLIE GLEN MASSOGLIA (MD)
NPI
1992780712
Phone
(951) 431-5330
Address
3640 Talmage Cir Ste 216
Enumeration Date
14 December 2005
Last Update Date
27 February 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
2406933281
Graduation Year
1998 (28 years ago)
PAC ID
1254379159
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20050421000224
Address ID
MN554012263MI333XXNXXX413
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

40 ADDICTION MEDICINE in MN

Provider Addresses for DR. LESLIE GLEN MASSOGLIA (MD)

  • 3640 Talmage Cir Ste 216

    Vadnais Heights, MN 55110

    Phone: (951) 431-5330

    Fax: (952) 431-5334

    Type: Location

  • 4845, Safari Court North, Eagan, Dakota County, Minnesota, 55122, United States

    EAGAN, MN 551222617

    Phone: (507) 461-3813

    Fax: (651) 305-0595

    Type: Mailing

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: 2022-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20050421000224IFamily PracticeMNTBD
I20210630003748IFamily PracticeMTTBD
I20220914000083IFamily PracticeNCTBD
I20220920003414IFamily PracticeNYTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3021$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2518$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th1917$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1715$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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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: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeFL
Family PracticeCA
Family PracticePA
Family PracticeGA
Family PracticeAZ
Family PracticeMN
Emergency MedicineGA
Family PracticeCA
Family PracticeMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LESLIE GLEN MASSOGLIA (MD)?
DR. LESLIE GLEN MASSOGLIA (MD) — NPI 1992780712 — is the standard way to identify this listing.
Is DR. LESLIE GLEN MASSOGLIA (MD) still practicing?
DR. LESLIE GLEN MASSOGLIA (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. LESLIE GLEN MASSOGLIA (MD)?
For research purposes, treat DR. LESLIE GLEN MASSOGLIA (MD) as Hospice and Palliative Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LESLIE GLEN MASSOGLIA (MD)?
DR. LESLIE GLEN MASSOGLIA (MD)'s geographic hint is Vadnais Heights, Minnesota in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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