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DR. GLEN B SMITH M.D.
NPI 1326031105
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bloomington, IL

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
1505 EASTLAND DR, SUITE 210, BLOOMINGTON, IL 61701(309) 662-5506(309) 662-5443 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Glen B Smith M.d. NPPES

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

DR. GLEN B SMITH M.D. (NPI 1326031105) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bloomington, Illinois, licensed in Illinois (036075454) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1326031105
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. GLEN B SMITHCredential: M.D.
Location Address1505 EASTLAND DR, SUITE 210Bloomington, IL 61701-7906
Mailing Address1505 Eastland Dr, Suite 210Bloomington, IL 61701-7906 · (309) 662-5506 · Fax (309) 662-5443
Phone(309) 662-5506
Fax(309) 662-5443
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 26, 2005
Last NPPES UpdateNovember 13, 2012
✔ NPI 1326031105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IL · 036075454
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1505 EASTLAND DR, Bloomington, IL 61701
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Other Identifiers 13

Other036075454000Osf Health Plans
Other233989Personal Care
Medicare PINL96846IL
Other05732036IL · Blue Shield Group Number
Other1955270United Healthcare
Other37893Tricare
Medicaid205477201MO
Other008131IL · Health Alliance Provider
Other37773Phcs
Medicare UPINE57544
Medicare PIN780002309
Other228074Healthlink
OtherIL0102John Deere Health Plan

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

Dr. Glen B Smith M.d. 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 ID941271415
PECOS Enrollment IDI20060830000130
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 5

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 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.
244 services153 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.
93 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

DR. VENKATA RANGANADH DODDA MD
Internal Medicine (Critical Care Medicine)
1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
DR. EDWARD LESLIE COLLOTON MD
Ophthalmology
1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 662-7700
MS. MELANIE SCHALL
Pharmacist
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 664-0505
NORD OBSTETRICS AND GYNECOLOGY, SC
Obstetrics & Gynecology
1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701
McLean County (309) 663-8888
KENNETH H. INOUE
Internal Medicine
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
MCLEAN COUNTY ANESTHESIOLOGY, LTD.
Anesthesiology (Pain Medicine)
1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701
McLean County (309) 663-4700
CAROLINE J TURNER APN
Nurse Practitioner
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 665-4040
DANIELLE BEER
Physician Assistant
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2100

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 Smith's NPI number?

The NPI number for Glen Smith is 1326031105. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Glen Smith located?

Glen Smith practices at 1505 Eastland Dr Suite 210, Bloomington, IL 61701. The listed phone number is (309) 662-5506.

What is Glen Smith's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Glen Smith enrolled in Medicare?

Yes. Glen 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.

Is Glen Smith affiliated with any hospitals?

According to CMS data, Glen Smith is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital, St Joseph Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Glen Smith was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.