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DR. GLEN JASON BUNN JR. MD
NPI 1487004230
Emergency Medicine in Vidalia, GA

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555(912) 535-5891 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, May 6, 2021, May 9, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Glen Jason Bunn Jr. Md NPPES

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

DR. GLEN JASON BUNN JR. MD (NPI 1487004230) is an individual emergency medicine provider in Vidalia, Georgia, licensed in Georgia (82620) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487004230
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GLEN JASON BUNN JR.Credential: MD
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 583-6800
Phone(912) 535-5555
Fax(912) 535-5891
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1487004230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 82620✔ Licensed in MI · 4301110110
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 82620 (GA)
1 MEADOWS PKWY, Vidalia, GA 30474
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Secondary Practice Locations 2

Location 11000 Houghton AveSaginaw, MI 48602-5303 · Phone (989) 583-6800
Location 2303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854 · Phone (912) 535-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Glen Jason Bunn Jr. 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 ID4981957677
PECOS Enrollment IDI20190619002116
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 Reassignments

4

Medicare enrollment records show Glen Bunn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montgomery Emergency Group, LLC
Same address
Emergency Medicine
1 MEADOWS PKWY
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
NPI 1861773764 (912) 535-5555
Dailey Pediatrics And Family Medicine PC
0.5 mi
Primary Care
310 MAPLE DR
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1811703655 (912) 403-1324
Emergency Medicine Services Of Ga, LLC
77 mi
Hospitalist
4700 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1437017084 (912) 350-7020
Acs Primary Care Physicians - Southeast PC
234 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
218 services201 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
199 services190 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services106 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services72 patients

Hospital Affiliations CMS Care Compare

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

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

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.

MRS. CINDY ELLEN HAND NP
Nurse Practitioner
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555
DR. PAULA RAJENDRA PATEL-DREWRY MD
Emergency Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555
MRS. LYNDSAY M WALDHOUR RD, LD
Dietitian, Registered
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5562
BRICK ACOSTA M.D.
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555
HENRY D CLINE M.D.
Radiology (Radiation Oncology)
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 538-7777
MR. JAMES R PAYNE PA C
Physician Assistant
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 454-7012
COSTRINI & MEADOWS, PC
Internal Medicine (Pulmonary Disease)
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 927-6270
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Anesthesiology
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 537-4986

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 Glen Bunn's NPI number?

The NPI number for Glen Bunn is 1487004230. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Glen Bunn located?

Glen Bunn practices at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 535-5555.

What is Glen Bunn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Glen Bunn enrolled in Medicare?

Yes. Glen Bunn 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 organizations bill Medicare for Glen Bunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Bunn reassigns Medicare benefits to 4 organizations: Montgomery Emergency Group, LLC (Vidalia, GA), Dailey Pediatrics And Family Medicine PC (Vidalia, GA), Emergency Medicine Services Of Ga, LLC (Savannah, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each 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 Glen Bunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glen Bunn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Glen Bunn 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.

Is Glen Bunn affiliated with any hospitals?

According to CMS data, Glen Bunn is affiliated with Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Glen Bunn was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.