DR. GLENN KONOPASKE (M.D.) – Psychiatry Physician, NPI 1386613354

DR. GLENN KONOPASKE (M.D.) is a healthcare provider. based in Farmington, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 40112 (CT). The NPI Number for DR. GLENN KONOPASKE (M.D.) is 1386613354

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN KONOPASKE (M.D.)
NPI
1386613354
Phone
(860) 679-1105
Address
UCONN HEALTH
Enumeration Date
14 March 2006
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8606792000
Graduation Year
1999 (27 years ago)
PAC ID
3779474200
Group Practice PAC ID
8022915677
Professional Enrollment ID
I20150921002268
Address ID
CT060300001FA263XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
gkonopaske10831@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

851 PSYCHIATRY in CT

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Provider Addresses for DR. GLENN KONOPASKE (M.D.)

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    DEPT. OF PSYCHIATRY, 263 FARMINGTON AVE

    FARMINGTON, CT 060300001

    Phone: (860) 679-1105

    Fax: (860) 679-1489

    Type: Location

  • 189 STORRS RD

    MANSFIELD CENTER, CT 062501683

    Phone: (860) 456-1311

    Type: Mailing

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: 2015-09-21

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
I20150921002268IPsychiatryCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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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: 8022915677View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
Emergency MedicineCT
Clinical PsychologistCT
P S Y C H I A T R YCT
Physician AssistantDE
Emergency MedicineCT

Reviews

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Frequently asked questions

Can I verify DR. GLENN KONOPASKE (M.D.) with an NPI only?
You can start verification with NPI 1386613354 for DR. GLENN KONOPASKE (M.D.), then check state licensing separately.
Does the file indicate DR. GLENN KONOPASKE (M.D.) is practicing under active NPI?
Directory data currently reports DR. GLENN KONOPASKE (M.D.) as active.
What is DR. GLENN KONOPASKE (M.D.)'s primary classification?
Psychiatry Physician is the headline specialty for DR. GLENN KONOPASKE (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. GLENN KONOPASKE (M.D.) serve?
DR. GLENN KONOPASKE (M.D.)'s listing highlights Farmington, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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