GLEN T. HANSEN MD
NPI 1679754675
Radiology - Diagnostic Radiology in Milwaukee, WI

Active since November 18, 2007PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-3750(414) 259-9290 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Glen T. Hansen Md NPPES

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

GLEN T. HANSEN MD (NPI 1679754675) is an individual diagnostic radiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (66674) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1679754675
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGLEN T. HANSENCredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-3750 · Fax (414) 259-9290
Fax(414) 259-9290
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2002
Enumeration DateNovember 18, 2007
Last NPPES UpdateOctober 30, 2019
✔ NPI 1679754675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in WI · 66674✔ Licensed in OH · 35082795✔ Licensed in OH · 35-082795
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Locations 5

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-1000
Location 24455 S 108th St Ste 140Greenfield, WI 53228-2504 · Phone (414) 774-7226 · Fax (414) 454-4995
Location 31905 N Calhoun RdBrookfield, WI 53005-5036 · Phone (262) 754-8000 · Fax (262) 780-3396
Location 4W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 257-3060 · Fax (262) 518-5052
Location 53522 W Lisbon AveMilwaukee, WI 53208-1953 · Phone (414) 935-8000 · Fax (414) 344-0895

Other Identifiers 3

Medicaid1679754675WI
OtherP00620399OH · Railroad Medicare
Medicaid2839101OH

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

Glen T. Hansen 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 ID2769557420
PECOS Enrollment IDI20190913002486
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

4

Medicare enrollment records show Glen Hansen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
General Practice
9500 EUCLID AVE # NA4
Cleveland, OH 44195
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 324 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 50

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
648 services581 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
308 services299 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
277 services167 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
209 services119 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
173 services91 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
159 services72 patients

Hospital Affiliations CMS Care Compare 5

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360125
Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Hansen's NPI number?

The NPI number for Glen Hansen is 1679754675. It was assigned to this individual provider in the NPPES registry on November 18, 2007.

Where is Glen Hansen located?

Glen Hansen practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-3750.

What is Glen Hansen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Glen Hansen enrolled in Medicare?

Yes. Glen Hansen 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 Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Hansen reassigns Medicare benefits to 4 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Cleveland Clinic Health Services Professional Association, Inc (Cleveland, OH) and Clinic Medical Services Company LLC (Cleveland, OH). 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 Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Glen Hansen affiliated with any hospitals?

According to CMS data, Glen Hansen is affiliated with Fairview Hospital, Ashtabula County Medical Center, Cleveland Clinic, Hillcrest Hospital and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Glen Hansen was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.