1. Home
  2. Directory
  3. New York
  4. Gloversville
  5. General Practice
  6. NPI Profile

MR. JOHN L GLENN MD
NPI 1821056433
General Practice in Gloversville, NY

Active since May 03, 2006PECOS Enrolled
84 E. STATE ST, ST. MARY'S HOSPITAL, GLOVERSVILLE FAM HLTH CNTR, GLOVERSVILLE, NY 12078(518) 773-8894(518) 773-8125 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John L Glenn Md NPPES

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

MR. JOHN L GLENN MD (NPI 1821056433) is an individual general practice provider in Gloversville, New York, licensed in New York (1575271) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821056433
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JOHN L GLENNCredential: MD
Location Address84 E. STATE ST, ST. MARY'S HOSPITAL, GLOVERSVILLE FAM HLTH CNTRGloversville, NY 12078
Mailing Address427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At AmsterdamAmsterdam, NY 12010 · (518) 841-7430 · Fax (518) 841-7121
Phone(518) 773-8894
Fax(518) 773-8125
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 2, 2010
✔ NPI 1821056433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 1575271
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
84 E. STATE ST, Gloversville, NY 12078
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC59167
Medicare ID-Type UnspecifiedBB1796
Medicaid00890859NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John L Glenn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show John Glenn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Marys Healthcare
9.8 mi
General Acute Care Hospital
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St. Mary's Healthcare
  • 144 clinicians in this Medicare group
NPI 1518926401 (518) 841-7407

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers21 claims42 services$5.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims23 services$21.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers45 claims45 services$100.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. VINCENT JOSEPH MONTAGNINO RPA
Physician Assistant (Medical)
84 E. STATE ST, ST. MARY'S HOSPITAL, GLOVERSVILLE FAMILY HEALTH CENTER
GLOVERSVILLE, NY 12078
Fulton County (518) 773-8894

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 John Glenn's NPI number?

The NPI number for John Glenn is 1821056433. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is John Glenn located?

John Glenn practices at 84 E. State St St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078. The listed phone number is (518) 773-8894.

What is John Glenn's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Glenn enrolled in Medicare?

Yes. John Glenn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Glenn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Glenn reassigns Medicare benefits to St Marys Healthcare (Amsterdam, NY). The 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 John Glenn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Glenn was last updated on September 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.