DR. GLENN P DAUBERT (M.D.) – Emergency Medicine Physician, NPI 1528005378

DR. GLENN P DAUBERT (M.D.) is a healthcare provider. based in Gold river, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. C52359 (CA). The NPI Number for DR. GLENN P DAUBERT (M.D.) is 1528005378

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN P DAUBERT (M.D.)
NPI
1528005378
Phone
(916) 708-3972
Address
11605 BOOM POINTER WAY
Enumeration Date
1 June 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9166882000
Graduation Year
2001 (25 years ago)
PAC ID
8628037033
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20060807000199
Address ID
CA958234671SA6600XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. GLENN P DAUBERT (M.D.)

  • 11605, Boom Pointer Way, Bret Harte Village, Gold River, Sacramento County, California, 95670, United States

    GOLD RIVER, CA 956707625

    Phone: (916) 708-3972

    Type: Mailing

  • Bruceville Road, Valley Hi / North Laguna, Sacramento, Sacramento County, California, 94758, United States

    SACRAMENTO, CA 95823

    Phone: (916) 688-2535

    Fax: (916) 688-2350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-08-07

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
I20060807000199IEmergency MedicineCATBD

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
99285Emergency department visit with high level of medical decision making1717$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What is the registry number for DR. GLENN P DAUBERT (M.D.)?
The registry entry for DR. GLENN P DAUBERT (M.D.) shows NPI 1528005378.
Is DR. GLENN P DAUBERT (M.D.)'s NPI status active today?
Active status means DR. GLENN P DAUBERT (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. GLENN P DAUBERT (M.D.) does?
Insurance directories may phrase it differently, but here DR. GLENN P DAUBERT (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GLENN P DAUBERT (M.D.) in Gold River, California?
For routing, start with Gold River, California for DR. GLENN P DAUBERT (M.D.), then verify phone and hours locally.
Who maintains DR. GLENN P DAUBERT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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