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JONATHAN GLAZE MD
NPI 1821551714
Ophthalmology in Hattiesburg, MS

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
105 ASBURY CIR STE B, HATTIESBURG, MS 39402(601) 450-8500(601) 450-8501 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Jun 23, 2023, Apr 9, 2019 (3 updates tracked since 2019).

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

NPI1821551714
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJONATHAN GLAZECredential: MD
Location Address105 ASBURY CIR STE BHattiesburg, MS 39402-1397
Mailing Address105 Asbury Cir Ste BHattiesburg, MS 39402-1397 · (601) 450-8500 · Fax (601) 450-8501
Phone(601) 450-8500
Fax(601) 450-8501
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1821551714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MS · 30330✔ Licensed in TN · 68334
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
105 ASBURY CIR STE B, Hattiesburg, MS 39402
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Other Identifiers 3

MedicaidQ083201TN
Medicaid200005320MS
Medicaid305271001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3971832932
PECOS Enrollment IDI20230802001267, I20250731003533
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.

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.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

INTERVENTIONAL SPINE & SPORTS INSTITUTE
Physical Medicine & Rehabilitation
105 ASBURY CIR STE B
HATTIESBURG, MS 39402
Lamar County (601) 296-2552

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.

What insurance does Jonathan Glaze accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 9 other insurers 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 5 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.