DR. GLENN CHARLES VITALE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1730189556

DR. GLENN CHARLES VITALE (D.P.M.) is a healthcare provider. based in Milford, Connecticut. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. P00345 (CT). The NPI Number for DR. GLENN CHARLES VITALE (D.P.M.) is 1730189556

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN CHARLES VITALE (D.P.M.)
NPI
1730189556
Phone
(203) 877-3160
Address
90A BEACH AVE
Enumeration Date
22 July 2005
Last Update Date
20 November 2009

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2039889841
Graduation Year
1982 (44 years ago)
PAC ID
0446355432
Professional Enrollment ID
I20070419000622
Address ID
CT065164312WE385XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

266 PODIATRY in CT

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Provider Addresses for DR. GLENN CHARLES VITALE (D.P.M.)

  • 90, Beach Avenue, Woodmont, Milford, New Haven County, Connecticut, 06460, United States

    MILFORD, CT 064608060

    Phone: (203) 877-3160

    Type: Mailing

  • 385, Main Street, West Haven, New Haven County, Connecticut, 06516, United States

    SUITE 10

    WEST HAVEN, CT 065164312

    Phone: (203) 933-8606

    Fax: (203) 932-9571

    Type: Location

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 $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Endo USA, Inc. ($120).

Total Amount

$260

General + Research + Ownership

Payments

4

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-04-19

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
I20070419000622IPodiatryCTTBD

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
11721Removal of fingernails or toenails, 6 or more nails544187$0
11056Removal of noncancer thickened skin growth, 2-4 growths8949$0
11720Removal of fingernails or toenails, 1-5 nails8058$0
11719Trimming of fingernails or toenails7747$0
99212Established patient office or other outpatient visit, 10-19 minutes5034$0
View full utilization report →

Insurance plans in this area (ZIP 06460)

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Provider's Procedures

DR. GLENN CHARLES VITALE (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCT11042Removal of skin and tissue first 20 sq cm or less9618
PODIATRYCT11056Removal of 2 to 4 thickened skin growths17981

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Frequently asked questions

What identifier follows DR. GLENN CHARLES VITALE (D.P.M.) across health systems?
The NPI 1730189556 uniquely identifies DR. GLENN CHARLES VITALE (D.P.M.) in U.S. healthcare data.
Does the public listing show DR. GLENN CHARLES VITALE (D.P.M.) as active?
DR. GLENN CHARLES VITALE (D.P.M.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. GLENN CHARLES VITALE (D.P.M.)?
NPPES ties DR. GLENN CHARLES VITALE (D.P.M.) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. GLENN CHARLES VITALE (D.P.M.) tied to Milford, Connecticut?
If you are local to Milford, Connecticut, DR. GLENN CHARLES VITALE (D.P.M.) may be relevant to your search.
Why is information missing for DR. GLENN CHARLES VITALE (D.P.M.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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