DR. TRISTAN DAVID GLENN DO
NPI 1437882099
Neuromusculoskeletal Medicine, Sports Medicine in Fairbanks, AK

Q: What is Tristan Glenn's NPI number?

The NPI number for Tristan Glenn is 1437882099. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Tristan Glenn's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Glenn was last updated on July 29, 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.

Active since July 01, 2022PECOS EnrolledAccepts Medicare Assignment

1919 LATHROP ST, FAIRBANKS, AK 99701(907) 459-2619(907) 374-1089 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Tristan David Glenn Do NPPES

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

DR. TRISTAN DAVID GLENN DO (NPI 1437882099) is an individual neuromusculoskeletal medicine, sports medicine provider in Fairbanks, Alaska, licensed in Alaska (234573) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kirksville, and is a graduate of University Of New England, College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1437882099

Entity TypeIndividualMale

Primary Taxonomy204C00000X

Provider Legal NameDR. TRISTAN DAVID GLENNCredential: DO

Location Address1919 LATHROP STFairbanks, AK 99701-5937

Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (207) 838-2090

Phone(907) 459-2619

Fax(907) 374-1089

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2021

Enumeration DateJuly 1, 2022

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1437882099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in AK · 234573

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports 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 the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 234573 (AK)

1919 LATHROP ST, Fairbanks, AK 99701

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Secondary Practice Location 1

Location 1315 S Osteopathy AveKirksville, MO 63501-6401 · Phone (660) 785-1000

Other Identifiers 1

Medicaid1755983AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Dr. Tristan David Glenn 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 ID1456865567

PECOS Enrollment IDI20250710000729

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

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.

EYE CLINIC OF FAIRBANKS, INC

Ophthalmology

1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 456-7760

FAIRBANKS ORTHODONTIC GROUP A PROF CORP

Dentist (Orthodontics and Dentofacial Orthopedics)

1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 452-2939

EAR NOSE & THROAT CLINIC INC.

Otolaryngology

1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 456-7768

MRS. SHANNON KAY RHOTON MSN, FNP-BC

Nurse Practitioner (Family)

1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 456-8191

PRESCRIPTION CENTER LLC

Pharmacy (Community/Retail Pharmacy)

1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 452-1514

STARKS MD LLC

Internal Medicine

1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 452-4822

DAVID BOYD ATC

Specialist/Technologist (Athletic Trainer)

1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 455-4401

MS. SHERI D SCHOENBERG PT

Physical Therapist

1919 LATHROP ST, STE 123, MEDICAL AND DENTAL ARTS BUILDING
FAIRBANKS, AK 99701

Fairbanks North Star Borough (907) 445-4401

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 Tristan Glenn's NPI number?

The NPI number for Tristan Glenn is 1437882099. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Tristan Glenn located?

Tristan Glenn practices at 1919 Lathrop St, Fairbanks, AK 99701. The listed phone number is (907) 459-2619.

What is Tristan Glenn's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Tristan Glenn enrolled in Medicare?

Yes. Tristan Glenn 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 Tristan Glenn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tristan Glenn 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 Tristan Glenn was last updated on July 29, 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.