ADAM RYAN GLASSICK (PA-C) – Physician Assistant, NPI 1013211937

ADAM RYAN GLASSICK (PA-C) is a healthcare provider. based in St johns, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105842 (FL). The NPI Number for ADAM RYAN GLASSICK (PA-C) is 1013211937

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RYAN GLASSICK (PA-C)
NPI
1013211937
Phone
(540) 460-4236
Address
570 STERNWHEEL DR
Enumeration Date
6 January 2011
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156004074
Graduation Year
2010 (16 years ago)
PAC ID
3779767801
Group Practice PAC ID
1052409307
Professional Enrollment ID
I20110413000818
Address ID
FL322076326JA4498XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ADAM RYAN GLASSICK (PA-C)

  • 570 STERNWHEEL DR

    ST JOHNS, FL 322598662

    Phone: (540) 460-4236

    Type: Mailing

  • 12303 SAN JOSE BLVD

    JACKSONVILLE, FL 322232640

    Phone: (904) 288-0277

    Type: Location

  • 474 Route 3

    Plattsburgh, NY 12901

    Phone: (518) 536-3071

    Fax: (518) 536-3075

    Type: Location

  • 12303 San Jose Blvd

    Jacksonville, FL 322232640

    Phone: (904) 288-0277

    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: 2018-10-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110413000818IPhysician AssistantFLTBD
I20181003002006IPhysician AssistantNYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6058$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3231$0
81003Automated urinalysis test1616$0
87804Detection test by immunoassay with direct visual observation for influenza virus1615$0
View full utilization report →

Insurance plans in this area (ZIP 32259)

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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: 1052409307View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ADAM RYAN GLASSICK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1013211937 for ADAM RYAN GLASSICK (PA-C).
Is ADAM RYAN GLASSICK (PA-C)'s NPI status active today?
Active status means ADAM RYAN GLASSICK (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret ADAM RYAN GLASSICK (PA-C)'s specialty?
The extract shows Physician Assistant for ADAM RYAN GLASSICK (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to ADAM RYAN GLASSICK (PA-C)?
The directory associates ADAM RYAN GLASSICK (PA-C) with St Johns, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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