KYLE GLASSER – Pain Medicine (Anesthesiology) Physician, NPI 1255894119

KYLE GLASSER is a healthcare provider. based in Cullman, Alabama. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold a License No. 46157 (AL). The NPI Number for KYLE GLASSER is 1255894119

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KYLE GLASSER
NPI
1255894119
Phone
(256) 841-0800
Address
1300B Bridge Creek Dr NE
Enumeration Date
8 April 2019
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
2053323155
Graduation Year
2019 (7 years ago)
PAC ID
2961736947
Group Practice PAC ID
0648355016
Professional Enrollment ID
I20250507002389
Address ID
AL352052412BI1020XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

632 ANESTHESIOLOGY in AL

Provider Addresses for KYLE GLASSER

  • 1300B Bridge Creek Dr NE

    Cullman, AL 350551300

    Phone: (256) 841-0800

    Fax: (833) 908-2254

    Type: Location

  • UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-0411

    Type: Location

  • 1020 26TH ST S

    BIRMINGHAM, AL 352052412

    Phone: (205) 332-3155

    Fax: (866) 644-8086

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($59).

Total Amount

$233

General + Research + Ownership

Payments

12

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250507002389IAnesthesiologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648355016View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
-AL
-AL
Physical Medicine And RehabilitationAL

Reviews

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Frequently asked questions

Can I use this page to confirm KYLE GLASSER's NPI?
Yes. KYLE GLASSER is listed with NPI 1255894119 in the public NPI dataset.
Can I rely on KYLE GLASSER being an active provider?
As of the registry snapshot, KYLE GLASSER is marked active.
What is KYLE GLASSER's primary classification?
Pain Medicine (Anesthesiology) Physician is the headline specialty for KYLE GLASSER here. Clinical services aligned with this taxonomy classification.
Does KYLE GLASSER list a practice location?
Patients near Cullman, Alabama may find KYLE GLASSER in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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