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DR. GLENN J WALDT DO
NPI 1437219698
Neuromusculoskeletal Medicine & OMM in Las Cruces, NM

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
2803 DORAL CT, LAS CRUCES, NM 88011(046) 984-4063(877) 532-2113 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2024, Sep 17, 2021, Apr 29, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Glenn J Waldt Do NPPES

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

DR. GLENN J WALDT DO (NPI 1437219698) is an individual neuromusculoskeletal medicine & omm provider in Las Cruces, New Mexico, licensed in New Mexico (A045921) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1437219698
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. GLENN J WALDTCredential: DO
Location Address2803 DORAL CTLas Cruces, NM 88011-8616
Mailing Address1180 Commerce Drive #14222Las Cruces, NM 88011-8255 · (505) 695-1227 · Fax (877) 532-2113
Phone(046) 984-4063
Fax(877) 532-2113
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateDecember 11, 2006
Last NPPES UpdateMay 8, 20247 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1437219698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in NM · A045921
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2803 DORAL CT, Las Cruces, NM 88011
Open in Google Maps ↗

Other Identifiers 1

Medicaid27552381NM

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. Glenn J Waldt Do 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 ID5597664425
PECOS Enrollment IDI20210615001890
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 Reassignment

Medicare enrollment records show Glenn Waldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Back And Neck Medical Care Center, LLC
Same address
Medical Specialty
2803 DORAL CT
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
NPI 1417530304 (046) 984-4063

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 10

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.

Osteopathic manipulative treatment, 7-8 body regions 98928
Osteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.
2,545 services201 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.
2,298 services186 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,038 services171 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.
254 services89 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
122 services111 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.
108 services108 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Three Crosses Regional Hospital LLC

Acute Care Hospitals · Las Cruces, NM
OwnershipProprietary
CMS Certification Number320091
Location2560 Samaritan DriveLas Cruces, NM 88001 · Dona Ana County
Emergency services

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.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
DME-Orthotic Devices · category DF007N
1 supplier60 claims60 services$856.69 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 3

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

BACK AND NECK MEDICAL CARE CENTER, LLC
Clinic/Center (Medical Specialty)
2803 DORAL CT
LAS CRUCES, NM 88011
Doña Ana County (046) 984-4063
ISABEL C. VIGIL, MD, PC
Clinic/Center (Primary Care)
2803 DORAL CT
LAS CRUCES, NM 88011
Doña Ana County (505) 522-1628
LAS CRUCES SURGICAL ASSOCIATES PA
Surgery
2803 DORAL CT
LAS CRUCES, NM 88011
Doña Ana County (505) 522-1931

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 Waldt's NPI number?

The NPI number for Glenn Waldt is 1437219698. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Glenn Waldt located?

Glenn Waldt practices at 2803 Doral Ct, Las Cruces, NM 88011. The listed phone number is (046) 984-4063.

What is Glenn Waldt's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Glenn Waldt enrolled in Medicare?

Yes. Glenn Waldt 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 Glenn Waldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Waldt reassigns Medicare benefits to Back And Neck Medical Care Center, LLC (Las Cruces, NM). 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 Glenn Waldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Glenn Waldt affiliated with any hospitals?

According to CMS data, Glenn Waldt is affiliated with Memorial Medical Center and Three Crosses Regional Hospital LLC.

When was this NPI record last updated?

The NPPES record for Glenn Waldt was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.