KIMBERLY M GLOW M.D.
NPI 1821220062
Clinic/Center - Medical Specialty in Knoxville, TN

Q: What is Kimberly Glow's NPI number?

The NPI number for Kimberly Glow is 1821220062. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Q: What is Kimberly Glow's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: Is Kimberly Glow enrolled in Medicare?

No. Kimberly Glow has opted out of Medicare through March 31, 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.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Glow was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 21, 2009Opted out of Medicare · through Mar 31, 2027

116 AGNES RD STE 200, KNOXVILLE, TN 37919(865) 229-6575(217) 215-9876 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2025, Mar 28, 2025, Mar 19, 2021 and 1 more (4 updates tracked since 2021).

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About Kimberly M Glow M.d. NPPES

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

KIMBERLY M GLOW M.D. (NPI 1821220062) is an individual medical specialty provider in Knoxville, Tennessee, licensed in Tennessee (68798) and active in the NPI registry since August 2009. She has opted out of Medicare through March 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821220062

Entity TypeIndividualFemale

Primary Taxonomy261QM2500X

Provider Legal NameKIMBERLY M GLOWCredential: M.D.

Location Address116 AGNES RD STE 200Knoxville, TN 37919-6306

Mailing Address116 Agnes Rd Ste 200Knoxville, TN 37919-6306 · (217) 369-7878

Phone(865) 229-6575

Fax(217) 215-9876

Sole ProprietorYes

Enumeration DateAugust 21, 2009

Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1821220062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in TN · 68798

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedGeneral PracticeTaxonomy 208D00000X · License DR.0062432 (CO)

Also ListedPrevention ProfessionalTaxonomy 405300000X · License 036102300 (IL)

116 AGNES RD STE 200, Knoxville, TN 37919

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly M Glow 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 March 31, 2021 through March 31, 2027.

Opt-Out Effective DateMarch 31, 2021

Opt-Out In Effect ThroughMarch 31, 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 37919 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 20

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

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