1. Home
  2. Directory
  3. New York
  4. Fayetteville
  5. Physician Assistant
  6. NPI Profile

GLENN GILBERG PA
NPI 1770603755
Physician Assistant - Medical in Fayetteville, NY

Active since March 31, 2007PECOS EnrolledAccepts Medicare Assignment
6870 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 679-4367(315) 679-4368 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Aug 10, 2022, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

About Glenn Gilberg Pa NPPES

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

GLENN GILBERG PA (NPI 1770603755) is an individual medical provider in Fayetteville, New York, licensed in New York (006260) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1770603755
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGLENN GILBERGCredential: PA
Location Address6870 E GENESEE STFayetteville, NY 13066-1031
Mailing Address17 Lansing StAuburn, NY 13021-1983 · (315) 255-7011
Phone(315) 679-4367
Fax(315) 679-4368
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 31, 2007
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1770603755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 006260
Also ListedPhysician AssistantTaxonomy 363A00000X

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

Glenn Gilberg Pa 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 ID5496761496
PECOS Enrollment IDI20060228000771
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.

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 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.
23 services22 patients
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.
20 services20 patients

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.

WELLNOW URGENT CARE, PC
Clinic/Center (Urgent Care)
6870 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 679-4367
TAYLOR FISHER
Nurse Practitioner (Family)
6870 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 679-4367
KIRA LEE-LIN GRIDLEY FNP-C
Nurse Practitioner
6870 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 679-4367
VANETTE ZALOCHA NP
Nurse Practitioner (Family)
6870 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 679-4367
MRS. LINDSAY ELIZABETH KIMMEL NEIDIG FNP-C
Nurse Practitioner
6870 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 679-4367

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 Glenn Gilberg's NPI number?

The NPI number for Glenn Gilberg is 1770603755. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Glenn Gilberg located?

Glenn Gilberg practices at 6870 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 679-4367.

What is Glenn Gilberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Glenn Gilberg enrolled in Medicare?

Yes. Glenn Gilberg 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.

When was this NPI record last updated?

The NPPES record for Glenn Gilberg was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.