GARY B GLENN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962579797
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA
Provider Addresses for GARY B GLENN (CRNA)
9961 Sierra Ave
Fontana, CA 923356720
Phone: (909) 427-3910
Type: Location
2204 IRONWOOD PL STE B
COEUR D ALENE, ID 838142662
Phone: (208) 765-8585
Fax: (000) 000-0000
Type: Mailing
West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States
COEUR D ALENE, ID 838146051
Phone: (208) 765-8585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($23).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $23 |
| INTERCEPT PHARMACEUTICALS, INC. | $18 |
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: 2017-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080104000375 | I | Certified Registered Nurse Anesthetist (Crna) | ID | TBD |
| I20170206002475 | I | Certified Registered Nurse Anesthetist (Crna) | WA | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 40 | 40 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 24 | 24 | $0 |
| 00142 | Anesthesia for lens surgery | 22 | 22 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 16 | 16 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 14 | 14 | $0 |
Insurance plans in this area (ZIP 92335)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | CA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 13 | 13 |
| CERTIFIED REGISTERED NURSE ANESTHET | CA | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 13 | 13 |
| CERTIFIED REGISTERED NURSE ANESTHET | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| - | NC | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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