DR. GLEN RAY HANSON MD
NPI 1497795652
Surgery in Shawnee, OK

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
89.39/100
CMS Quality Rating
3315 KETHLEY RD, SHAWNEE, OK 74804(405) 273-5801(405) 878-3814 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen Ray Hanson Md NPPES

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

DR. GLEN RAY HANSON MD (NPI 1497795652) is an individual surgery provider in Shawnee, Oklahoma, licensed in Oklahoma (18843) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and is a graduate of University Of Oklahoma College Of Medicine (1989).

NPPES Registry Identity

NPI1497795652
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GLEN RAY HANSONCredential: MD
Location Address3315 KETHLEY RDShawnee, OK 74804-9638
Mailing AddressPo Box 849Shawnee, OK 74802-0849 · (405) 273-5801 · Fax (405) 878-3814
Fax(405) 878-3814
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1989
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 29, 2012
NPI 1497795652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OK · 18843
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3315 KETHLEY RD, Shawnee, OK 74804

Other Identifiers 2

Medicare UPINE68194OK
Medicaid100094710AOK

Accepted 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. Glen Ray Hanson 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 ID2365429453
PECOS Enrollment IDI20091214000548
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
230 services227 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
113 services113 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services50 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
40 services40 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
23 services23 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

89.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.91
Promoting Interoperability100
Improvement Activities40
Cost72.74

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.

Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Physician Assistant
3315 KETHLEY RD
SHAWNEE, OK 74804
Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Orthopaedic Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Family Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pediatrics
3315 KETHLEY RD
SHAWNEE, OK 74804

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 Hanson's NPI number?

The NPI number for Glen Hanson is 1497795652. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Glen Hanson located?

Glen Hanson practices at 3315 Kethley Rd, Shawnee, OK 74804. The listed phone number is (405) 273-5801.

What is Glen Hanson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Glen Hanson enrolled in Medicare?

Yes. Glen Hanson 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 Glen Hanson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Glen Hanson 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 Hanson affiliated with any hospitals?

According to CMS data, Glen Hanson is affiliated with Ssm Health St Anthony Hospital - Shawnee and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Glen Hanson was last updated on August 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.