KRISTOFER NATHANIEL TUPPER (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1306378104
Sports Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTOFER NATHANIEL TUPPER (D.O.)
305 BLACK ROCK TPKE
FAIRFIELD, CT 068255508
Phone: (203) 337-2600
Fax: (203) 337-2611
Type: Mailing
455 Toll Gate Rd
Warwick, RI 02886
Phone: (401) 737-7010
Type: Location
263 Farmington Ave
Farmington, CT 060300002
Phone: (860) 679-4763
Fax: (860) 679-4624
Type: Location
263 FARMINGTON AVE
FARMINGTON, CT 060300002
Phone: (860) 679-4763
Fax: (860) 679-4624
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: 2024-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240304002709 | I | Sports Medicine | MA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 255 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 84 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 73564 | X-ray of knee, 4 or more views | 39 | 37 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 33 | 32 | $0 |
Insurance plans in this area (ZIP 06825)
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