DR. GLENN TAYLOR MATTLAGE DDS
NPI 1184603243
Dentist - Periodontics in Lubbock, TX

Q: What is Glenn Mattlage's NPI number?

The NPI number for Glenn Mattlage is 1184603243. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Glenn Mattlage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Mattlage was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 17, 2006PECOS Enrolled

4415 66TH ST, SUITE 112, LUBBOCK, TX 79414(806) 797-1275 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Glenn Taylor Mattlage Dds NPPES

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

DR. GLENN TAYLOR MATTLAGE DDS (NPI 1184603243) is an individual periodontics provider in Lubbock, Texas, licensed in New Mexico (DD1382) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184603243

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. GLENN TAYLOR MATTLAGECredential: DDS

Location Address4415 66TH ST, SUITE 112Lubbock, TX 79414-4809

Mailing Address4415 66th St, Suite 112Lubbock, TX 79414-4809 · (806) 797-1275

Phone(806) 797-1275

Sole ProprietorYes

Enumeration DateJanuary 17, 2006

Last NPPES UpdateAugust 26, 2014

✔ NPI 1184603243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in NM · DD1382✔ Licensed in TX · 12592

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4415 66TH ST, Lubbock, TX 79414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn Taylor Mattlage Dds 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 79414 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 3

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

DR. BRYAN SCOTT MCLARTY D.D.S.

Dentist (General Practice)

4415 66TH ST, STE 112
LUBBOCK, TX 79414

Lubbock County (806) 792-3311

LUBBOCK DENTAL IMPLANT CENTER PLLC

Dentist (Periodontics)

4415 66TH ST, SUITE 112
LUBBOCK, TX 79414

Lubbock County (806) 797-1275

DR. DAVID S. O'HARA D.D.S.

Dentist (General Practice)

4415 66TH ST, SUITE 110
LUBBOCK, TX 79414

Lubbock County (806) 795-4443

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 Glenn Mattlage's NPI number?

The NPI number for Glenn Mattlage is 1184603243. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Glenn Mattlage located?

Glenn Mattlage practices at 4415 66th St Suite 112, Lubbock, TX 79414. The listed phone number is (806) 797-1275.

What is Glenn Mattlage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Glenn Mattlage enrolled in Medicare?

Yes. Glenn Mattlage is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Mattlage accept?

Health plans from Blue Cross and Blue Shield of Alabama list Glenn Mattlage 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 Glenn Mattlage was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.