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SAMUEL R. GLICKMAN M.D.
NPI 1912149790
Internal Medicine - Pulmonary Disease in Gresham, OR

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment
25050 SE STARK STREET, LEGACY MT HOOD MULTISPECIALTY CLINIC, GRESHAM, OR 97030(503) 413-5702(503) 413-6499 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel R. Glickman M.d. NPPES

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

SAMUEL R. GLICKMAN M.D. (NPI 1912149790) is an individual pulmonary disease provider in Gresham, Oregon, licensed in Oregon (MD177588) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2009).

NPPES Registry Identity

NPI1912149790
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSAMUEL R. GLICKMANCredential: M.D.
Location Address25050 SE STARK STREET, LEGACY MT HOOD MULTISPECIALTY CLINICGresham, OR 97030
Mailing Address25050 Se Stark Street, Legacy Mt Hood Multispecialty ClinicGresham, OR 97030 · (503) 413-5702 · Fax (503) 413-6499
Phone(503) 413-5702
Fax(503) 413-6499
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2009
Enumeration DateMarch 25, 2009
Last NPPES UpdateAugust 23, 2016
✔ NPI 1912149790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OR · MD177588
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedHospitalistTaxonomy 208M00000X · License 265576 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25050 SE STARK STREET, Gresham, OR 97030
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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

Samuel R. Glickman M.d. 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 ID9638325186
PECOS Enrollment IDI20190326000651, I20190418000571
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
194 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Samuel Glickman's NPI number?

The NPI number for Samuel Glickman is 1912149790. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Samuel Glickman located?

Samuel Glickman practices at 25050 SE Stark Street Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030. The listed phone number is (503) 413-5702.

What is Samuel Glickman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Samuel Glickman enrolled in Medicare?

Yes. Samuel Glickman 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.

When was this NPI record last updated?

The NPPES record for Samuel Glickman was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.