KENNETH GLAZIER
NPI 1245296243
Internal Medicine - Gastroenterology in Toms River, NJ

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
477 LAKEHURST RD, TOMS RIVER, NJ 08755(732) 349-4422 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Glazier NPPES

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

KENNETH GLAZIER (NPI 1245296243) is an individual gastroenterology provider in Toms River, New Jersey, licensed in New Jersey (25MA07182400) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1995).

NPPES Registry Identity

NPI1245296243
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKENNETH GLAZIER
Location Address477 LAKEHURST RDToms River, NJ 08755-6342
Mailing Address477 Lakehurst RdToms River, NJ 08755-6342 · (732) 349-4422
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1995
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 17, 2008
NPI 1245296243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA07182400
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
477 LAKEHURST RD, Toms River, NJ 08755

Other Identifiers 3

Medicare UPINH12900NJ
Medicare ID-Type Unspecified062993NJ
Medicaid8993106NJ

Accepted Insurance

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

Kenneth Glazier 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 ID648365858
PECOS Enrollment IDI20071003000419
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 17

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
295 services243 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
206 services123 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
196 services189 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
163 services163 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.
142 services130 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
137 services136 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

Nurse Practitioner (Family)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Gastroenterology)
477 LAKEHURST RD
TOMS RIVER, NJ 08755

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 Kenneth Glazier's NPI number?

The NPI number for Kenneth Glazier is 1245296243. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Kenneth Glazier located?

Kenneth Glazier practices at 477 Lakehurst Rd, Toms River, NJ 08755. The listed phone number is (732) 349-4422.

What is Kenneth Glazier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Glazier enrolled in Medicare?

Yes. Kenneth Glazier 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.

What insurance does Kenneth Glazier accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kenneth Glazier 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.

Is Kenneth Glazier affiliated with any hospitals?

According to CMS data, Kenneth Glazier is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Glazier was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.