KEITH JAMES GLOVER – Vascular Surgery Physician, NPI 1053706663

KEITH JAMES GLOVER is a healthcare provider. based in Colton, California. specializing in VASCULAR SURGERY. They hold a License No. A169766 (CA). The NPI Number for KEITH JAMES GLOVER is 1053706663

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KEITH JAMES GLOVER
NPI
1053706663
Phone
Not provided
Address
400 N PEPPER AVE STE 308
Enumeration Date
31 March 2015
Last Update Date
1 September 2020

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9095803353
Graduation Year
2015 (11 years ago)
PAC ID
4486071586
Group Practice PAC ID
4385556687
Professional Enrollment ID
I20200903002836
Address ID
CA923241801CO400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

674 VASCULAR SURGERY in CA

Provider Addresses for KEITH JAMES GLOVER

  • 400 N PEPPER AVE STE 308

    COLTON, CA 923241801

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($153).

Total Amount

$420

General + Research + Ownership

Payments

15

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-03

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
I20200903002836IVascular SurgeryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6939$0
99213Established patient office or other outpatient visit, 20-29 minutes5434$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4138$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes2320$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 92324)

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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: 4385556687View full group profile
NameSpecialtyState
-CA
Thoracic Surgery, General SurgeryCA
Surgical Oncology, General SurgeryCA
General Surgery, Vascular SurgeryCA
Vascular Surgery, General SurgeryCA
-CA
General Surgery, Vascular SurgeryCA
Thoracic SurgeryCA
N E U R O S U R G E R YCA
Surgical Oncology, General SurgeryCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEITH JAMES GLOVER?
KEITH JAMES GLOVER — NPI 1053706663 — is the standard way to identify this listing.
Does the file indicate KEITH JAMES GLOVER is practicing under active NPI?
Directory data currently reports KEITH JAMES GLOVER as active.
What is KEITH JAMES GLOVER's primary classification?
Vascular Surgery Physician is the headline specialty for KEITH JAMES GLOVER here. Clinical services aligned with this taxonomy classification.
Does KEITH JAMES GLOVER list a practice location?
Patients near Colton, California may find KEITH JAMES GLOVER in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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