DR. GLENN R PROVDO D.P.M.
NPI 1467574814
Podiatrist in Toms River, NJ

Active since April 05, 2007PECOS Enrolled
2446 CHURCH RD, SUITE 2C, TOMS RIVER, NJ 08753(732) 255-8637(609) 698-6813 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glenn R Provdo D.p.m. NPPES

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

DR. GLENN R PROVDO D.P.M. (NPI 1467574814) is an individual podiatrist in Toms River, New Jersey, licensed in New Jersey (25MD00149000) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467574814
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. GLENN R PROVDOCredential: D.P.M.
Location Address2446 CHURCH RD, SUITE 2CToms River, NJ 08753-8182
Mailing Address2446 Church Rd, Suite 2cToms River, NJ 08753-8182 · (732) 255-8637 · Fax (609) 698-6813
Fax(609) 698-6813
Sole ProprietorYes
Enumeration DateApril 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1467574814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NJ · 25MD00149000
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2446 CHURCH RD, Toms River, NJ 08753

Other Identifiers 1

Medicare ID-Type Unspecified111139NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Glenn R Provdo D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
158 services61 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
88 services31 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
70 services22 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Family Medicine
2446 CHURCH RD
TOMS RIVER, NJ 08753
Internal Medicine
2446 CHURCH RD, SUITE 1A
TOMS RIVER, NJ 08753
Family Medicine
2446 CHURCH RD
TOMS RIVER, NJ 08753
Psychologist
2446 CHURCH RD, STE 3B
TOMS RIVER, NJ 08753
Psychiatry & Neurology (Psychiatry)
2446 CHURCH RD, SUITE 2-D
TOMS RIVER, NJ 08753
Physical Therapist
2446 CHURCH RD, SUITE 2A
TOMS RIVER, NJ 08753
Chiropractor
2446 CHURCH RD, SUITE 2E
TOMS RIVER, NJ 08753
Dentist
2446 CHURCH RD
TOMS RIVER, NJ 08753

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 Provdo's NPI number?

The NPI number for Glenn Provdo is 1467574814. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Where is Glenn Provdo located?

Glenn Provdo practices at 2446 Church Rd Suite 2C, Toms River, NJ 08753. The listed phone number is (732) 255-8637.

What is Glenn Provdo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Glenn Provdo enrolled in Medicare?

Yes. Glenn Provdo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Provdo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.