1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Pediatrics
  6. NPI Profile

ANDREA M GLASER MD
NPI 1659626802
Pediatrics - Pediatric Gastroenterology in Tyler, TX

Active since July 13, 2012PECOS Enrolled
3593 E GRANDE BLVD, TYLER, TX 75707(903) 539-2585 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Apr 24, 2024, May 26, 2022 (3 updates tracked since 2022).

About Andrea M Glaser Md NPPES

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

ANDREA M GLASER MD (NPI 1659626802) is an individual pediatric gastroenterology provider in Tyler, Texas, licensed in Texas (P1647) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659626802
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameANDREA M GLASERCredential: MD
Location Address3593 E GRANDE BLVDTyler, TX 75707-1400
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 539-2585
Sole ProprietorNo
Enumeration DateJuly 13, 2012
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1659626802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · P1647
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License P1647 (TX)
3593 E GRANDE BLVD, Tyler, TX 75707
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1301 University BlvdGalveston, TX 77555-0351 · Phone (409) 772-1596 · Fax (409) 747-4995
Location 2800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7264
Location 31120 E Front StTyler, TX 75702-8414 · Phone (903) 606-3630

Other Identifiers 1

OtherP1647TX · Tx Medical License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea M Glaser Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Glaser reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas
5.4 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Shriners Hospitals For Children
177 mi
Pediatrics
6560 FANNIN ST STE 1900
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 112 clinicians in this Medicare group
NPI 1649850272 (409) 770-6600
Utmb Faculty Group Practice
206 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75707 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 12

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

ANTHONY JAMES LEE APRN, FNP-C
Nurse Practitioner (Family)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (507) 358-7123
DR. ANDREW O'KELLEY D.O.
Family Medicine
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
RYAN L RATLIFF MD
Family Medicine (Obesity Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
MS. JILL ANN CAMPBELL MS, RD, LD, CDE
Dietitian, Registered
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
JINAL GANGAR MD
Family Medicine (Sleep Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
CHRISTUS TRINITY CLINIC
Durable Medical Equipment & Medical Supplies
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
KATIE STORRS P.A.-C
Physician Assistant
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 606-1664
LISA DANIELLE PROCTOR APRN FNP-C
Nurse Practitioner (Family)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 606-1664

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 Andrea Glaser's NPI number?

The NPI number for Andrea Glaser is 1659626802. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Andrea Glaser located?

Andrea Glaser practices at 3593 E Grande Blvd, Tyler, TX 75707. The listed phone number is (903) 539-2585.

What is Andrea Glaser's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Andrea Glaser enrolled in Medicare?

Yes. Andrea Glaser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Glaser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Glaser reassigns Medicare benefits to 3 organizations: Christus Trinity Clinic Texas (Tyler, TX), Shriners Hospitals For Children (Houston, TX) and Utmb Faculty Group Practice (Galveston, TX). 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 Andrea Glaser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Glaser accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Andrea Glaser 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 Andrea Glaser was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.