ETHAN GLAZENER – Radiation Oncology Physician, NPI 1831620475
Radiation Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
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Provider Addresses for ETHAN GLAZENER
400, The City Drive South, Orange, Orange County, California, 92868, United States
ORANGE, CA 928683201
Phone: (714) 456-5691
Fax: (714) 456-8874
Type: Location
27 PARK ST
HYANNIS, MA 026015230
Phone:
Type: Mailing
27151, El Moro, Mission Viejo, Orange County, California, 92691, United States
MISSION VIEJO, CA 926911006
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2023-07-31 • Largest payer in this snapshot: Brainlab, Inc. ($127).
Total Amount
$200
General + Research + Ownership
Payments
4
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Brainlab, Inc. | $127 |
| Elekta, Inc. | $45 |
| Bayer Healthcare Pharmaceuticals Inc. | $28 |
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: 2022-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220610002009 | I | Radiation Oncology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 934 | 97 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 697 | 59 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 379 | 115 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 285 | 90 | $0 |
| 77300 | Calculation of radiation therapy dose | 255 | 106 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MA | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | OK | |
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Radiation Oncology, Hematology/Oncology | OH | |
| Nephrology, Internal Medicine | MA | |
| Physician Assistant | MA | |
| P S Y C H I A T R Y | ME | |
| Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | RI |
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