JONATHAN GLAZE MD
NPI 1821551714
Ophthalmology in Hattiesburg, MS
About Jonathan Glaze Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN GLAZE MD (NPI 1821551714) is an individual ophthalmology provider in Hattiesburg, Mississippi, licensed in Mississippi (30330) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Glaze Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Glaze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jonathan Glaze's NPI number?
The NPI number for Jonathan Glaze is 1821551714. It was assigned to this individual provider in the NPPES registry on April 9, 2019.
Where is Jonathan Glaze located?
Jonathan Glaze practices at 105 Asbury Cir Ste B, Hattiesburg, MS 39402. The listed phone number is (601) 450-8500.
What is Jonathan Glaze's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Jonathan Glaze enrolled in Medicare?
Yes. Jonathan Glaze 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.
Which organizations bill Medicare for Jonathan Glaze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Glaze reassigns Medicare benefits to 2 organizations: Hattiesburg Eye Clinic, P.A. (Hattiesburg, MS) and Wesley & Klippenstein, PC (Nashville, TN). Each 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 Jonathan Glaze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Glaze accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. list Jonathan Glaze 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 Jonathan Glaze was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jonathan Glaze, MD · NPI 1821551714
Ophthalmology physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1821551714 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 30330 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 ASBURY CIR STE B, Hattiesburg, MS 39402-1397
- **Phone:** (601) 450-8500 · **Fax:** (601) 450-8501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hattiesburg Eye Clinic, P.A. (NPI 1922110949, Hattiesburg, MS); Wesley & Klippenstein, PC (NPI 1023025475, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 12, 2026
- **Other identifiers:** Medicaid Q083201 (TN); Medicaid 200005320 (MS); Medicaid 305271001 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1821551714) · Data from the CMS NPPES public registry.