DR. GLEN RAY HANSON MD
NPI 1497795652
Surgery in Shawnee, OK
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 - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Glen Hanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midwest City, OK 73110
- Reassigned Medicare billing, Oklahoma enrollment
- 212 clinicians in this Medicare group
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
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 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.
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 - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKSsm Health St Anthony Hospital - Shawnee
Acute Care Hospitals · Shawnee, OKPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Glen Hanson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Hanson reassigns Medicare benefits to 2 organizations: Ssm Health Care Of Oklahoma Inc (Midwest City, OK) and Saints Medical Group, LLC (Oklahoma City, OK). 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 Hanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glen Hanson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 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 - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.
When was this NPI record last updated?
The NPPES record for Glen Hanson was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Glen Ray Hanson, MD · NPI 1497795652
Surgery physician in Shawnee, Oklahoma. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1497795652 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 18843 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3315 KETHLEY RD, Shawnee, OK 74804-9638
- **Phone:** (405) 273-5801 · **Fax:** (405) 878-3814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Of Oklahoma Inc (NPI 1295493955, Midwest City, OK); Saints Medical Group, LLC (NPI 1437195922, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** August 29, 2012
- **Other identifiers:** Medicare UPIN E68194 (OK); Medicaid 100094710A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1497795652) · Data from the CMS NPPES public registry.