GLENN JEFFREY PELLETIER (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1861440273
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GLENN JEFFREY PELLETIER (MD)
725 WELCH RD
PALO ALTO, CA 943041601
Phone: (650) 497-8000
Type: Mailing
1600 Rockland Road
Wilmington, DE 198033607
Phone: (302) 651-4200
Fax: (302) 651-5345
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
ROCKLAND, DE 197230191
Phone: (302) 651-4000
Fax: (302) 651-4945
Type: Mailing
Nemours/Alfred I. duPont Hospital for Children, 1600, Rockland Road, Wilmington, New Castle County, Delaware, 19803, United States
WILMINGTON, DE 198033607
Phone: (302) 651-4200
Fax: (302) 651-5345
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $2,090.
Total Amount is formed as General ($2,090) + Research ($0) + Ownership ($0) = $2,090.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: TRANSMEDICS, INC. ($2,090).
Total Amount
$2,090
General + Research + Ownership
Payments
1
Total payment records
General Amount
$2,090
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TRANSMEDICS, INC. | $2,090 |
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: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100607000173 | I | Thoracic Surgery | DE | TBD |
| I20150325001548 | I | Thoracic Surgery | PA | TBD |
| I20231218003552 | I | Thoracic Surgery | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Infectious Disease, Pediatric Medicine | DE | |
| Diagnostic Radiology | DE | |
| Emergency Medicine, Pediatric Medicine | DE | |
| Pediatric Medicine | DE | |
| A N E S T H E S I O L O G Y | PA | |
| Pediatric Medicine | PA | |
| A N E S T H E S I O L O G Y | GA | |
| - | DE | |
| Critical Care (Intensivists) | DE |
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