DR. KENZIE LYNN GLASSBURN MD
NPI 1467026195
Obstetrics & Gynecology in Carbondale, IL

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
101 S WALL ST, CARBONDALE, IL 62901(618) 519-9200 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Jul 11, 2025, May 17, 2021 (3 updates tracked since 2021).

About Dr. Kenzie Lynn Glassburn Md NPPES

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

DR. KENZIE LYNN GLASSBURN MD (NPI 1467026195) is an individual obstetrics & gynecology provider in Carbondale, Illinois, licensed in Illinois (036175758) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains a secondary practice location in Anna.

NPPES Registry Identity

NPI1467026195
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KENZIE LYNN GLASSBURNCredential: MD
Location Address101 S WALL STCarbondale, IL 62901-3021
Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2025
Enumeration DateMay 17, 2021
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1467026195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036175758
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

101 S WALL ST, Carbondale, IL 62901

Secondary Practice Location 1

Location 1513 N Main StAnna, IL 62906-1697 · Phone (618) 833-4471 · Fax (618) 833-6267

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. Kenzie Lynn Glassburn Md 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 ID1355857509
PECOS Enrollment IDI20250723002629
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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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 19

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

Family Medicine (Adolescent Medicine)
101 S WALL ST
CARBONDALE, IL 62901
Dentist
101 S WALL ST
CARBONDALE, IL 62901
Clinical Medical Laboratory
101 S WALL ST
CARBONDALE, IL 62901
Clinic/Center (Methadone)
101 S WALL ST
CARBONDALE, IL 62901
Advanced Practice Midwife
101 S WALL ST
CARBONDALE, IL 62901
Advanced Practice Midwife
101 S WALL ST
CARBONDALE, IL 62901
Counselor (Mental Health)
101 S WALL ST
CARBONDALE, IL 62901
Advanced Practice Midwife
101 S WALL ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467026195, enumerated as an "individual" on May 17, 2021.

The provider is located at 101 S WALL ST CARBONDALE, IL 62901 and the phone number is (618) 519-9200.

Obstetrics & Gynecology with taxonomy code 207V00000X.

Kenzie Glassburn is affiliated with: MEMORIAL HOSPITAL OF CARBONDALE.