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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: August 09, 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
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Other Identifiers 3

Medicare UPINC59167
Medicare ID-Type UnspecifiedBB1796
Medicaid00890859NY

Medicare Participation & PECOS CMS

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

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.

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.

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 15 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.