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DR. GLENDON SALDIVAR HACK MD
NPI 1629073648
Family Medicine in Lytle, TX

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
19432 DAVIS ST, LYTLE, TX 78052(830) 709-9960(830) 709-9962 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glendon Saldivar Hack Md NPPES

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

DR. GLENDON SALDIVAR HACK MD (NPI 1629073648) is an individual family medicine provider in Lytle, Texas, licensed in Texas (K7753) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1629073648
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLENDON SALDIVAR HACKCredential: MD
Location Address19432 DAVIS STLytle, TX 78052
Mailing AddressPo Box 324Von Ormy, TX 78073-0324 · (830) 709-9960 · Fax (830) 709-9962
Phone(830) 709-9960
Fax(830) 709-9962
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1629073648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K7753
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License K7753 (TX)
19432 DAVIS ST, Lytle, TX 78052
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Other Identifiers 4

Other8U6150TX · Bcbs Individual
Medicaid135816011TX
Medicare UPINH05479TX
Medicare ID-Type Unspecified8F0715TX · Medicare Group 00206z

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Glendon Saldivar Hack 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 ID9537134440
PECOS Enrollment IDI20040901001191
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.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
393 services152 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
330 services139 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
195 services116 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78052 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims71 services$1.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$61.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$30.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LYTLE FAMILY PRACTICE PA
Family Medicine
19432 DAVIS ST
LYTLE, TX 78052
Atascosa County (830) 709-9960

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 Glendon Hack's NPI number?

The NPI number for Glendon Hack is 1629073648. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Glendon Hack located?

Glendon Hack practices at 19432 Davis St, Lytle, TX 78052. The listed phone number is (830) 709-9960.

What is Glendon Hack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glendon Hack enrolled in Medicare?

Yes. Glendon Hack 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 Glendon Hack accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Glendon Hack 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.

When was this NPI record last updated?

The NPPES record for Glendon Hack was last updated on January 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.