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ANDREW THOMAS GLAZA MD
NPI 1053114447
Surgery in Charleston, SC

Active since March 31, 2025PECOS Enrolled
96 JONATHAN LUCAS ST # 420, CHARLESTON, SC 29425(843) 792-4638 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Andrew Thomas Glaza Md NPPES

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

ANDREW THOMAS GLAZA MD (NPI 1053114447) is an individual surgery provider in Charleston, South Carolina, licensed in South Carolina (LL94941) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1053114447
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW THOMAS GLAZACredential: MD
Location Address96 JONATHAN LUCAS ST # 420Charleston, SC 29425-6712
Mailing Address169 Ashley Avenue, Room 202 Main Hospital, Msc333Charleston, SC 29425
Phone(843) 792-4638
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 28, 20252 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1053114447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · LL94941
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
96 JONATHAN LUCAS ST # 420, Charleston, SC 29425
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Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (517) 515-4435

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Thomas Glaza Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrew Glaza's NPI number?

The NPI number for Andrew Glaza is 1053114447. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Andrew Glaza located?

Andrew Glaza practices at 96 Jonathan Lucas St # 420, Charleston, SC 29425. The listed phone number is (843) 792-4638.

What is Andrew Glaza's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Glaza enrolled in Medicare?

Yes. Andrew Glaza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Glaza was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.