DR. JUSTIN LEE GLANCY DPM
NPI 1336868066
Podiatrist - Foot & Ankle Surgery in Loma Linda, CA
About Dr. Justin Lee Glancy Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN LEE GLANCY DPM (NPI 1336868066) is an individual foot & ankle surgery provider in Loma Linda, California, licensed in California (E6171) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Justin Lee Glancy Dpm 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.
Medicare Billing Reassignment
Medicare enrollment records show Justin Glancy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Desert, CA 92260
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOMA LINDA, CA 92357
LOMA LINDA, CA 92357
LOMA LINDA, CA 92357
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 Justin Glancy's NPI number?
The NPI number for Justin Glancy is 1336868066. It was assigned to this individual provider in the NPPES registry on August 25, 2022. The provider is also known as Dr. Justin Lee Glancy Dpm.
Where is Justin Glancy located?
Justin Glancy practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.
What is Justin Glancy's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Justin Glancy enrolled in Medicare?
Yes. Justin Glancy 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 organization bills Medicare for Justin Glancy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Glancy reassigns Medicare benefits to Coachella Valley Foot And Ankle Institute (Palm Desert, CA). The 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 Justin Glancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justin Glancy was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Justin Lee Glancy, DPM · NPI 1336868066
Foot & Ankle Surgery provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1336868066 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E6171 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11201 BENTON ST, Loma Linda, CA 92357-1000
- **Phone:** (909) 825-7084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Coachella Valley Foot And Ankle Institute (NPI 1003284423, Palm Desert, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kent State University College Of Podiatric Medicine, class of 2025
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336868066) · Data from the CMS NPPES public registry.