DR. COURTNEY ELIZABETH GLOS M.D.
NPI 1053760728
Pediatrics in Michigan City, IN

Q: What is Courtney Glos's NPI number?

The NPI number for Courtney Glos is 1053760728. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Q: What is Courtney Glos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Glos was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 03, 2016PECOS Enrolled

200 ALFRED ST, MICHIGAN CITY, IN 46360(219) 872-6200(219) 879-2915 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2020, Jul 24, 2019 (2 updates tracked since 2019).

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About Dr. Courtney Elizabeth Glos M.d. NPPES

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

DR. COURTNEY ELIZABETH GLOS M.D. (NPI 1053760728) is an individual pediatrics provider in Michigan City, Indiana, licensed in Indiana (01082430A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053760728

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. COURTNEY ELIZABETH GLOSCredential: M.D.

Location Address200 ALFRED STMichigan City, IN 46360

Mailing Address710 Franklin St Ste 200Michigan City, IN 46360-3564 · (219) 872-6200 · Fax (219) 879-2915

Phone(219) 872-6200

Fax(219) 879-2915

Sole ProprietorNo

Enumeration DateJune 3, 2016

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1053760728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01082430A

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.

200 ALFRED ST, Michigan City, IN 46360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Courtney Elizabeth Glos M.d. 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 Reassignment

Medicare enrollment records show Courtney Glos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthlinc, Inc.

Same address

Federally Qualified Health Center (FQHC)

200 ALFRED ST
Michigan City, IN 46360

Reassigned Medicare billing, Indiana enrollment
183 clinicians in this Medicare group

NPI 1013105568 (219) 413-5100

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 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 9

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

HEALTHLINC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))