DR. GLEN RAY PATTON DO
NPI 1922073337
Family Medicine in Derby, KS
About Dr. Glen Ray Patton Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEN RAY PATTON DO (NPI 1922073337) is an individual family medicine provider in Derby, Kansas, licensed in Kansas (05-19924) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
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 (PECOS)
Dr. Glen Ray Patton Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glen Patton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Derby, KS 67037
- Reassigned Medicare billing, Kansas enrollment
- 6 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.
Areas of Expertise CMS Part B claims 23
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
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 Glen Patton's NPI number?
The NPI number for Glen Patton is 1922073337. It was assigned to this individual provider in the NPPES registry on February 20, 2006.
Where is Glen Patton located?
Glen Patton practices at 606 Mulberry Rd, Derby, KS 67037. The listed phone number is (316) 788-3787.
What is Glen Patton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Glen Patton enrolled in Medicare?
Yes. Glen Patton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glen Patton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Patton reassigns Medicare benefits to Tanglewood Family Medical Center PA (Derby, KS). The 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 Glen Patton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glen Patton accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Glen Patton 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 Glen Patton was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.