DR. GLENDON P ROUGEOU (MD) – Family Medicine Physician, NPI 1992719371
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. GLENDON P ROUGEOU (MD)
1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA 941115424
Phone: (415) 504-3838
Fax: (415) 504-1367
Type: Location
3033 CAMPUS DR STE W225
PLYMOUTH, MN 554412752
Phone: (415) 504-3838
Fax: (415) 504-1367
Type: Mailing
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Fax: (770) 219-8440
Type: Mailing
Prominence Court, Dawsonville GA 400, Lumpkin, Dawson County, Georgia, United States
SUIE 100
DAWSONVILLE, GA 305346339
Phone: (706) 344-6940
Fax: (706) 344-6941
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: 2007-11-08
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 |
|---|---|---|---|---|
| I20071108000141 | I | Family Practice | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 135 | $0 |
| G0008 | Administration of influenza virus vaccine | 78 | 78 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 68 | 68 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 57 | 13 | $0 |
Insurance plans in this area (ZIP 94111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | NC | |
| P O D I A T R Y | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI | |
| - | NC | |
| H O S P I T A L I S T | NC | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NC |
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