DR. GLENMORE LASAM M.D.
NPI 1093133027
Internal Medicine - Cardiovascular Disease in Manteca, CA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
1148 NORMAN DR STE 3, MANTECA, CA 95336(209) 824-1555(209) 464-2684 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, Sep 7, 2020 (2 updates tracked since 2020).

About Dr. Glenmore Lasam M.d. NPPES

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

DR. GLENMORE LASAM M.D. (NPI 1093133027) is an individual cardiovascular disease provider in Manteca, California, licensed in California (A171671) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tracy, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093133027
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GLENMORE LASAMCredential: M.D.
Location Address1148 NORMAN DR STE 3Manteca, CA 95336-5961
Mailing Address415 E Harding Way Ste DStockton, CA 95204-6118 · (209) 944-5750 · Fax (209) 464-2684
Fax(209) 464-2684
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 7, 2014
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1093133027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A171671
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10197800 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0
1148 NORMAN DR STE 3, Manteca, CA 95336

Secondary Practice Location 1

Location 11530 N Bessie Dr, Suite 101Tracy, CA 95376 · Phone (209) 832-0343 · Fax (209) 464-2684

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

Dr. Glenmore Lasam M.d. 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 ID9436407806
PECOS Enrollment IDI20220721001446
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 38

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
686 services403 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
563 services169 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
444 services116 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
377 services104 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
342 services62 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
325 services184 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
1148 NORMAN DR STE 3
MANTECA, CA 95336

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 Glenmore Lasam's NPI number?

The NPI number for Glenmore Lasam is 1093133027. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Glenmore Lasam located?

Glenmore Lasam practices at 1148 Norman Dr Ste 3, Manteca, CA 95336. The listed phone number is (209) 824-1555.

What is Glenmore Lasam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Glenmore Lasam enrolled in Medicare?

Yes. Glenmore Lasam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Glenmore Lasam was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.