DR. GLEN S LOVELACE MD
NPI 1720023930
Obstetrics & Gynecology - Obstetrics in Boise, ID

Q: What is Glen Lovelace's NPI number?

The NPI number for Glen Lovelace is 1720023930. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Glen Lovelace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Lovelace was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment

333 N 1ST ST STE 260, BOISE, ID 83702(208) 345-3136(208) 345-0984 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Glen S Lovelace Md NPPES

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

DR. GLEN S LOVELACE MD (NPI 1720023930) is an individual obstetrics provider in Boise, Idaho, licensed in Idaho (M6570) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (1990).

NPPES Registry Identity

NPI1720023930

Entity TypeIndividualMale

Primary Taxonomy207VX0000X

Provider Legal NameDR. GLEN S LOVELACECredential: MD

Location Address333 N 1ST ST STE 260Boise, ID 83702-6132

Mailing Address333 N 1st St Ste 260Boise, ID 83702-6132 · (208) 345-3136 · Fax (208) 345-0984

Phone(208) 345-3136

Fax(208) 345-0984

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1990

Enumeration DateJune 19, 2006

Last NPPES UpdateAugust 23, 2017

✔ NPI 1720023930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in ID · M6570

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

333 N 1ST ST STE 260, Boise, ID 83702

Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified1130367ID

Other000010002170ID · Blue Shield

Other37382ID · Blue Cross

Medicare UPINF77391ID

Medicaid003795800ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.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. Glen S Lovelace 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 ID6507054715

PECOS Enrollment IDI20110103000356

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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 5

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

MRS. MEGAN ASHLEY KITTERMAN CNM

Advanced Practice Midwife