MR. GLENN R SMITH PA-C
NPI 1275505794
Physician Assistant - Surgical in Greenville, NC

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
BRODY OUTPATIENT CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858(252) 744-2207(252) 744-3794 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Glenn R Smith Pa-c NPPES

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

MR. GLENN R SMITH PA-C (NPI 1275505794) is an individual surgical provider in Greenville, North Carolina, licensed in North Carolina (104089) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1275505794
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. GLENN R SMITHCredential: PA-C
Location AddressBRODY OUTPATIENT CENTER, 600 MOYE BLVDGreenville, NC 27858
Mailing Address2100 Stantonsburg Rd, Po Box 6028Greenville, NC 27834-2818 · (252) 847-4299 · Fax (252) 874-8208
Fax(252) 744-3794
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 8, 2022
NPPES CertifiedJanuary 8, 2022
NPI 1275505794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NC · 104089
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 104089 (NC)
BRODY OUTPATIENT CENTER, Greenville, NC 27858

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

Mr. Glenn R Smith Pa-c 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 ID6103888128
PECOS Enrollment IDI20041102000553
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 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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
22 services22 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Physician Assistant (Medical)
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Internal Medicine (Infectious Disease)
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Internal Medicine
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Nurse Practitioner (Obstetrics & Gynecology)
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Internal Medicine
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858
Pathology (Anatomic Pathology & Clinical Pathology)
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
GREENVILLE, NC 27858

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 Smith's NPI number?

The NPI number for Glenn Smith is 1275505794. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Glenn Smith located?

Glenn Smith practices at Brody Outpatient Center 600 Moye Blvd, Greenville, NC 27858. The listed phone number is (252) 744-2207.

What is Glenn Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Glenn Smith enrolled in Medicare?

Yes. Glenn Smith 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 Glenn Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Glenn Smith 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 Glenn Smith affiliated with any hospitals?

According to CMS data, Glenn Smith is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Glenn Smith was last updated on January 8, 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.