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DR. GLEN C. KNOWLES D.O.
NPI 1679579536
Family Medicine in Bradford, AR

Active since June 24, 2005PECOS Enrolled
203 WEST MAIN STREET, BRADFORD, AR 72020(501) 344-2788(501) 344-8451 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glen C. Knowles D.o. NPPES

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

DR. GLEN C. KNOWLES D.O. (NPI 1679579536) is an individual family medicine provider in Bradford, Arkansas, licensed in Arkansas (E0193) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1679579536
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLEN C. KNOWLESCredential: D.O.
Location Address203 WEST MAIN STREETBradford, AR 72020
Mailing AddressPo Box 70Bradford, AR 72020-0070 · (501) 344-2788 · Fax (501) 344-8451
Phone(501) 344-2788
Fax(501) 344-8451
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1993
Enumeration DateJune 24, 2005
Last NPPES UpdateMarch 15, 2010
✔ NPI 1679579536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E0193
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.
203 WEST MAIN STREET, Bradford, AR 72020
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Other Identifiers 3

Medicare UPINF82098AR
Medicare ID-Type Unspecified5J437AR
Medicaid125773003AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 (PECOS)

Dr. Glen C. Knowles D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103726856
PECOS Enrollment IDI20040109001029
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 Glen Knowles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

White County Medical Center
0.3 mi
Primary Care
504 W MAIN ST STE A
Bradford, AR 72020
  • Reassigned Medicare billing, Arkansas enrollment
  • 159 clinicians in this Medicare group
NPI 1386015097 (501) 344-8800
White River Health System, Inc.
46 mi
Critical Access
2106 E MAIN ST
Mountain View, AR 72560
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1427149814 (Arkansas)
  • 9 clinicians in this Medicare group
NPI 1417913419 (870) 262-5056
Northeast Arkansas Clinic Charitable Foundation, Inc
52 mi
Urgent Care
3001 APACHE DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 clinicians in this Medicare group
NPI 1922789676 (870) 936-8000

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 2

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.
64 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72020 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Knowles's NPI number?

The NPI number for Glen Knowles is 1679579536. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Glen Knowles located?

Glen Knowles practices at 203 West Main Street, Bradford, AR 72020. The listed phone number is (501) 344-2788.

What is Glen Knowles's specialty?

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

Is Glen Knowles enrolled in Medicare?

Yes. Glen Knowles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glen Knowles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Knowles reassigns Medicare benefits to 3 organizations: White County Medical Center (Bradford, AR), White River Health System, Inc. (Mountain View, AR) and Northeast Arkansas Clinic Charitable Foundation, Inc (Jonesboro, AR). 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 Knowles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glen Knowles accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Glen Knowles 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 Glen Knowles was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.