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DR. GLEN W SORRENTINO MD
NPI 1265407654
Internal Medicine in Tyler, TX

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
520 EAST DOUGLAS, TYLER, TX 75702(903) 593-1721 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glen W Sorrentino Md NPPES

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

DR. GLEN W SORRENTINO MD (NPI 1265407654) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (M3092) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265407654
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GLEN W SORRENTINOCredential: MD
Location Address520 EAST DOUGLASTyler, TX 75702
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450
Phone(903) 593-1721
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 21, 2006
Last NPPES UpdateOctober 14, 2014
✔ NPI 1265407654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M3092
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
520 EAST DOUGLAS, Tyler, TX 75702
Open in Google Maps ↗

Other Identifiers 12

Other750818167044TX · Tricare
Medicare PINTXB157211TX
Other751976930005TX · Tricare
Medicare ID-Type Unspecified8G7095TX · Medicare Indivdual Number
Medicare PINTXB156868TX
Other750818167022TX · Tricare
Medicaid178726902TX
Other750818167048TX · Tricare
Medicare PINTXB156879TX
Medicare UPINI48460
Other750818167015TX · Tricare
Medicare PINP00352781TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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 W Sorrentino Md 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 ID9335163708
PECOS Enrollment IDI20060124000974
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

3

Medicare enrollment records show Glen Sorrentino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas
0.1 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Mother Frances Hospital Regional Health Care Center
0.2 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441
Mother Frances Hospital Jacksonville
28 mi
Critical Access
2026 S JACKSON ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1952306672 (903) 541-4500

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 6

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.
411 services244 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
119 services119 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
27 services14 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.
24 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451319
Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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
5 suppliers11 claims22 services$6.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TRINITY CLINIC
Family Medicine
520 EAST DOUGLAS
TYLER, TX 75702
Smith County (903) 531-5185

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 Sorrentino's NPI number?

The NPI number for Glen Sorrentino is 1265407654. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Glen Sorrentino located?

Glen Sorrentino practices at 520 East Douglas, Tyler, TX 75702. The listed phone number is (903) 593-1721.

What is Glen Sorrentino's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glen Sorrentino enrolled in Medicare?

Yes. Glen Sorrentino 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 Sorrentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Sorrentino reassigns Medicare benefits to 3 organizations: Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, TX). 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 Sorrentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glen Sorrentino accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Glen Sorrentino 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 Glen Sorrentino affiliated with any hospitals?

According to CMS data, Glen Sorrentino is affiliated with Christus Mother Frances Hospital and Christus Mother Frances Hospital- Jacksonville.

When was this NPI record last updated?

The NPPES record for Glen Sorrentino was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.