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DR. BRIAN JOSEPH GLEN DO
NPI 1043779044
Pediatrics in Saint Peters, MO

Active since March 19, 2019PECOS Enrolled
5301 VETERANS MEMORIAL PKWY, STE 104, SAINT PETERS, MO 63376(636) 939-3362(636) 939-3687 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2024, Dec 29, 2022, Sep 28, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Brian Joseph Glen Do NPPES

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

DR. BRIAN JOSEPH GLEN DO (NPI 1043779044) is an individual pediatrics provider in Saint Peters, Missouri, licensed in Missouri (2022026389) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043779044
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRIAN JOSEPH GLENCredential: DO
Location Address5301 VETERANS MEMORIAL PKWY, STE 104Saint Peters, MO 63376-2298
Mailing AddressPo Box 7412025Chicago, IL 60674-2025 · (636) 939-3362 · Fax (636) 939-3687
Phone(636) 939-3362
Fax(636) 939-3687
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1043779044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2022026389
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5301 VETERANS MEMORIAL PKWY, Saint Peters, MO 63376
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Other Identifiers 1

Medicaid200070414MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Joseph Glen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brian Glen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wuca - Cloverleaf Pediatrics, LLC
Same address
Pediatrics
5301 VETERANS MEMORIAL PKWY STE 104
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1710375928 (636) 939-3362
Ssm Health Care St. Louis
6.0 mi
Emergency Medicine
300 1ST CAPITOL DR
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1427002922 (636) 947-5000
Ssm Cardinal Glennon Childrens Hospital
13 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. LORENA BUFFA MD
Pediatrics
5301 VETERANS MEMORIAL PKWY, STE 104
SAINT PETERS, MO 63376
St. Charles County (636) 939-3362
ST. CHARLES ORTHOPAEDIC SURGERY ASSOCIATES, INC.
Orthopaedic Surgery
5301 VETERANS MEMORIAL PKWY, STE 104
SAINT PETERS, MO 63376
St. Charles County (636) 561-5030
DR. ALLA DORFMAN MD
Pediatrics
5301 VETERANS MEMORIAL PKWY, STE 104
SAINT PETERS, MO 63376
St. Charles County (636) 939-3362
DR. ANGELA M JONES MD
Pediatrics
5301 VETERANS MEMORIAL PKWY, STE 104
SAINT PETERS, MO 63376
St. Charles County (636) 939-3362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Glen's NPI number?

The NPI number for Brian Glen is 1043779044. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Brian Glen located?

Brian Glen practices at 5301 Veterans Memorial Pkwy Ste 104, Saint Peters, MO 63376. The listed phone number is (636) 939-3362.

What is Brian Glen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Glen enrolled in Medicare?

Yes. Brian Glen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Glen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Glen reassigns Medicare benefits to 3 organizations: Wuca - Cloverleaf Pediatrics, LLC (Saint Peters, MO), Ssm Health Care St. Louis (Saint Charles, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Glen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Glen accept?

Health plans from Cox HealthPlans and UnitedHealthcare list Brian Glen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Glen was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.