S JUSTIN MICHAEL EAGLESTON – Surgery Physician, NPI 1942663554
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for S JUSTIN MICHAEL EAGLESTON
747 REED RD
MANSFIELD, OH 449039280
Phone: (419) 571-8621
Type: Mailing
700 N COLUMBUS ST
CRESTLINE, OH 448271455
Phone: (419) 462-3485
Type: Mailing
715 RICHLAND MALL
ONTARIO, OH 449063802
Phone: (567) 307-7854
Fax: (567) 307-7855
Type: Location
Good Samaritan Hospital, 375, Dixmyth Avenue, Clifton, Cincinnati, Hamilton County, Ohio, 45220, United States
CINCINNATI, OH 452202475
Phone: (513) 862-3562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,545.
Total Amount is formed as General ($2,545) + Research ($0) + Ownership ($0) = $2,545.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,878).
Total Amount
$2,545
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,878 |
| Davol Inc. | $283 |
| Teleflex LLC | $133 |
| ABBVIE INC. | $61 |
| Ethicon US, LLC | $34 |
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: 2023-08-21
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 |
|---|---|---|---|---|
| I20220810001893 | I | General Surgery | NC | TBD |
| I20230821001802 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal Medicine | OH | |
| E N D O C R I N O L O G Y | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Internal Medicine | OH |
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