GLENN JEFFREY PELLETIER MD
NPI 1861440273
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Palo Alto, CA
About Glenn Jeffrey Pelletier Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN JEFFREY PELLETIER MD (NPI 1861440273) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Palo Alto, California, licensed in California (G86182) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenn Jeffrey Pelletier Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Glenn Pelletier reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Philipsburg, PA 16866
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Doylestown, PA 18901
- Reassigned Medicare billing, Pennsylvania enrollment
- 83 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 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Glenn Pelletier's NPI number?
The NPI number for Glenn Pelletier is 1861440273. It was assigned to this individual provider in the NPPES registry on May 5, 2006.
Where is Glenn Pelletier located?
Glenn Pelletier practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Glenn Pelletier's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Glenn Pelletier enrolled in Medicare?
Yes. Glenn Pelletier is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Glenn Pelletier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Pelletier reassigns Medicare benefits to 4 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Stanford Health Care (Stanford, CA), Geisinger Clinic (Philipsburg, PA) and Shriners Hospitals For Children (Doylestown, PA). 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 Glenn Pelletier'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 Glenn Pelletier was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Glenn Jeffrey Pelletier, MD · NPI 1861440273
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1861440273 (Entity type: Individual)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** G86182 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA); Geisinger Clinic (NPI 1811948367, Philipsburg, PA); Shriners Hospitals For Children (NPI 1033879713, Doylestown, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2024
- **Other identifiers:** Medicaid 1010279140002 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1861440273) · Data from the CMS NPPES public registry.