JUSTIN PUOPOLO (D.O.) – Diagnostic Radiology Physician, NPI 1154556314

JUSTIN PUOPOLO (D.O.) is a healthcare provider. based in Salt lake city, Utah. specializing in DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials D.O.. They hold a License No. DO1947 (NV). The NPI Number for JUSTIN PUOPOLO (D.O.) is 1154556314

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN PUOPOLO (D.O.)
NPI
1154556314
Phone
(702) 477-0772
Address
PO BOX 30077
Enumeration Date
18 May 2009
Last Update Date
20 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026165585
Graduation Year
2009 (17 years ago)
PAC ID
8224275672
Group Practice PAC ID
4880679976
Professional Enrollment ID
I20150702002265
Address ID
NV890523839HE3001XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for JUSTIN PUOPOLO (D.O.)

  • PO BOX 30077

    SALT LAKE CITY, UT 841300077

    Phone: (702) 477-0772

    Type: Mailing

  • 5100 W Broad St

    Columbus, OH 432281607

    Phone: (614) 544-1000

    Type: Location

  • South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States

    LAS VEGAS, NV 891181872

    Phone: (702) 477-0772

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $311.

Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: AngioDynamics, Inc. ($212).

Total Amount

$311

General + Research + Ownership

Payments

6

Total payment records

General Amount

$311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-02

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
I20150702002265IDiagnostic RadiologyNVTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,55360$0
71045X-ray of chest, 1 view937804$0
70450Ct scan head or brain without contrast383377$0
71046X-ray of chest, 2 views300296$0
A9575Injection, gadoterate meglumine, 0.1 ml27020$0
View full utilization report →

Insurance plans in this area (ZIP 84130)

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Provider's Procedures

JUSTIN PUOPOLO (D.O.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNV71250CT scan chest1716
DIAGNOSTIC RADIOLOGYNV73562X-ray of knee, 3 views1513
DIAGNOSTIC RADIOLOGYNV73630X-ray of foot, minimum of 3 views1512
DIAGNOSTIC RADIOLOGYNV74177CT scan of abdomen and pelvis with contrast1111
DIAGNOSTIC RADIOLOGYNV78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2727
DIAGNOSTIC RADIOLOGYNV93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2626

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: 4880679976View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNV
-UT
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineMN
Nuclear Medicine, Diagnostic RadiologyUT
Diagnostic RadiologyMA
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyNY
-UT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Where can patients find JUSTIN PUOPOLO (D.O.)'s NPI?
You can confirm JUSTIN PUOPOLO (D.O.) with NPI 1154556314; it appears in the national provider directory.
Does this profile mean JUSTIN PUOPOLO (D.O.) is currently active?
Yes — JUSTIN PUOPOLO (D.O.) appears active in the national provider directory.
Does JUSTIN PUOPOLO (D.O.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for JUSTIN PUOPOLO (D.O.). Clinical services aligned with this taxonomy classification.
Does JUSTIN PUOPOLO (D.O.) practice in Utah?
You will see Salt Lake City, Utah on file for JUSTIN PUOPOLO (D.O.) alongside any extra practice locations.
Is JUSTIN PUOPOLO (D.O.) a real provider?
This page reflects official NPPES data for NPI 1154556314. Always confirm identity and privileges with the practice and licensing boards.

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