MR. MARK WILLIAM GLASS
NPI 1013021161
Physician Assistant - Surgical in Addison, TX

Q: What is Mark Glass's NPI number?

The NPI number for Mark Glass is 1013021161. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Mark Glass's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Glass was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

17051 DALLAS PKWY STE 400, ADDISON, TX 75001(214) 370-3535(214) 370-0004 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018 (2 updates tracked since 2018).

On this page

About Mr. Mark William Glass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK WILLIAM GLASS (NPI 1013021161) is an individual surgical provider in Addison, Texas, licensed in Texas (PA02857) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with North Central Surgical Center Llp, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1013021161

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. MARK WILLIAM GLASS

Location Address17051 DALLAS PKWY STE 400Addison, TX 75001-7108

Mailing Address5927 E University Blvd Apt 221Dallas, TX 75206-9114 · (214) 926-7117

Phone(214) 370-3535

Fax(214) 370-0004

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 18, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1013021161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA02857

17051 DALLAS PKWY STE 400, Addison, TX 75001

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Secondary Practice Location 1

Location 19301 N Central Expy Ste 500Dallas, TX 75231-0805 · Phone (214) 220-2468 · Fax (214) 720-1982

Other Identifiers 2

Medicaid209276607TX

Other806N48TX · Blue Cross/blue Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark William Glass is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880740125

PECOS Enrollment IDI20090928000777

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

198 services183 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

183 services151 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

49 services49 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

30 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number670049

Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

100%252 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%220 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON N CARMODY M.D.

Specialist