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DR. GLEN W HISEL D.D.S.
NPI 1730242140
Dentist - General Practice in Clovis, NM

Active since December 18, 2006Opted out of Medicare · through May 17, 2028
221 FAIRWAY TER N, CLOVIS, NM 88101(505) 762-3711(505) 762-4142 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen W Hisel D.d.s. NPPES

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

DR. GLEN W HISEL D.D.S. (NPI 1730242140) is an individual general practice provider in Clovis, New Mexico, licensed in New Mexico (1748) and active in the NPI registry since December 2006. He has opted out of Medicare through May 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730242140
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN W HISELCredential: D.D.S.
Location Address221 FAIRWAY TER NClovis, NM 88101-3064
Mailing Address221 Fairway Ter NClovis, NM 88101-3064 · (505) 762-3711 · Fax (505) 762-4142
Phone(505) 762-3711
Fax(505) 762-4142
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730242140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 1748
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
221 FAIRWAY TER N, Clovis, NM 88101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Glen W Hisel D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2016 through May 17, 2028.

Opt-Out Effective DateMay 17, 2016
Opt-Out In Effect ThroughMay 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88101 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Hisel's NPI number?

The NPI number for Glen Hisel is 1730242140. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Glen Hisel located?

Glen Hisel practices at 221 Fairway Ter N, Clovis, NM 88101. The listed phone number is (505) 762-3711.

What is Glen Hisel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Glen Hisel enrolled in Medicare?

No. Glen Hisel has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Glen Hisel accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Glen Hisel 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 Hisel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.