DR. GLEN R. LIESEGANG M. D.
NPI 1174584866
Family Medicine in Patterson, NC

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
1345 HIGHWAY 268, PATTERSON, NC 28661(828) 754-6850(828) 758-3214 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Glen R. Liesegang M. D. NPPES

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

DR. GLEN R. LIESEGANG M. D. (NPI 1174584866) is an individual family medicine provider in Patterson, North Carolina, licensed in North Carolina (31569) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1983).

NPPES Registry Identity

NPI1174584866
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLEN R. LIESEGANGCredential: M. D.
Location Address1345 HIGHWAY 268Patterson, NC 28661
Mailing AddressPo Box 319Patterson, NC 28661-0319 · (828) 754-6850 · Fax (828) 758-3214
Fax(828) 758-3214
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1983
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 18, 2012
✔ NPI 1174584866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 31569
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1345 HIGHWAY 268, Patterson, NC 28661

Other Identifiers 4

Medicare UPINA98187
Medicaid8951919NC
Medicare ID-Type Unspecified208238NC
Other51919NC · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glen R. Liesegang 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 ID8426181934
PECOS Enrollment IDI20100804000973
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

2

Medicare enrollment records show Glen Liesegang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
935 STATE FARM RD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1518620665 (North Carolina)
  • 19 clinicians in this Medicare group
Internal Medicine
107 HAYWOOD PARK DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services17 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.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28661 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims36 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$0.68 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier16 claims333 services$11.05 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier16 claims111 services$318.26 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier16 claims111 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier16 claims111 services$24.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Glen Liesegang's NPI number?

The NPI number for Glen Liesegang is 1174584866. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Glen Liesegang located?

Glen Liesegang practices at 1345 Highway 268, Patterson, NC 28661. The listed phone number is (828) 754-6850.

What is Glen Liesegang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glen Liesegang enrolled in Medicare?

Yes. Glen Liesegang 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.

Which organizations bill Medicare for Glen Liesegang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Liesegang reassigns Medicare benefits to 2 organizations: High Country Community Health (Boone, NC) and Appalachian Primary Care, PLLC (Clyde, NC). 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 Glen Liesegang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glen Liesegang accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Glen Liesegang 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 Glen Liesegang was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.