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DR. THEODORE G GLASSER MD
NPI 1295712883
Internal Medicine in Jacksonville, FL

Active since December 27, 2005PECOS Enrolled
91.62/100
CMS Quality Rating
820 PRUDENTIAL DR STE 304, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207(904) 346-3649(904) 348-5627 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2015, Nov 9, 2015 (2 updates tracked since 2015).

About Dr. Theodore G Glasser Md NPPES

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

DR. THEODORE G GLASSER MD (NPI 1295712883) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME72015) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295712883
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE G GLASSERCredential: MD
Location Address820 PRUDENTIAL DR STE 304, CREDENTIALING DEPARTMENTJacksonville, FL 32207-8205
Mailing AddressPo Box 44004Jacksonville, FL 32231-4004 · (904) 202-1032 · Fax (904) 348-5627
Phone(904) 346-3649
Fax(904) 348-5627
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateNovember 16, 20152 updates tracked since enumeration
✔ NPI 1295712883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME72015
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.
820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING46432
Medicaid2515814-00FL
Medicare PIN32613ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore G Glasser Md 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.

Medicare Billing Reassignments

2

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

Baptist Primary Care Inc
Same address
Infectious Disease
820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1588846869 (904) 396-4886
Ecg Associates Of Jacksonville P A
Same address
Technician, Cardiology
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 54 clinicians in this Medicare group
NPI 1679796395 (904) 202-2000

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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
203 services151 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$14.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$65.51 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 20

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

SANDRELA MUSSALLAM ABU SHAIBEH
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
YU-CHUN LI APRN
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. CHRISTOPHER PATRICK CARROLL MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
CHAQUANTA ENJOLI EBERHEART APRN
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
PETER N DAVISON MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. BRYANT MAURI DO
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. VENKATA R. MONINGI MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. IRENE KATHRYN KLEIN LOUH MD, PHD
Internal Medicine (Pulmonary Disease)
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860

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 Theodore Glasser's NPI number?

The NPI number for Theodore Glasser is 1295712883. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Theodore Glasser located?

Theodore Glasser practices at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville, FL 32207. The listed phone number is (904) 346-3649.

What is Theodore Glasser's specialty?

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

Is Theodore Glasser enrolled in Medicare?

Yes. Theodore Glasser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theodore Glasser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Glasser reassigns Medicare benefits to 2 organizations: Baptist Primary Care Inc (Jacksonville, FL) and Ecg Associates Of Jacksonville P A (Jacksonville, FL). 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 Theodore Glasser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Glasser accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Theodore Glasser 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 Theodore Glasser was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.