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DR. GLEN GOLEBURN D.M.D.
NPI 1801980396
Dentist - General Practice in Newark, DE

Active since October 02, 2006Opted out of Medicare · through May 21, 2027
1290 PEOPLES PLAZA, NEWARK, DE 19702(302) 836-3750(302) 836-2693 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen Goleburn D.m.d. NPPES

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

DR. GLEN GOLEBURN D.M.D. (NPI 1801980396) is an individual general practice provider in Newark, Delaware, licensed in Delaware (G10000965) and active in the NPI registry since October 2006. He has opted out of Medicare through May 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801980396
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN GOLEBURNCredential: D.M.D.
Location Address1290 PEOPLES PLAZANewark, DE 19702
Mailing Address1290 Peoples PlazaNewark, DE 19702 · (302) 836-3750 · Fax (302) 836-2693
Phone(302) 836-3750
Fax(302) 836-2693
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 1, 2011
✔ NPI 1801980396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in DE · G10000965
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.
1290 PEOPLES PLAZA, Newark, DE 19702
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Other Identifiers 2

Medicaid0001030831DE
Medicaid0001030708DE

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

ⓘ

Opted out of Medicare

Dr. Glen Goleburn D.m.d. 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 21, 2015 through May 21, 2027.

Opt-Out Effective DateMay 21, 2015
Opt-Out In Effect ThroughMay 21, 2027Opt-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 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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

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

DR. DANIELLE L. GERBER D.M.D.
Dentist (General Practice)
1290 PEOPLES PLAZA
NEWARK, DE 19702
New Castle County (302) 836-3750

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 Goleburn's NPI number?

The NPI number for Glen Goleburn is 1801980396. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Glen Goleburn located?

Glen Goleburn practices at 1290 Peoples Plaza, Newark, DE 19702. The listed phone number is (302) 836-3750.

What is Glen Goleburn's specialty?

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

Is Glen Goleburn enrolled in Medicare?

No. Glen Goleburn has opted out of Medicare through May 21, 2027. 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 Goleburn 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 Delta Dental PPO and 6 other insurers list Glen Goleburn 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 Goleburn was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.