RICHARD DENNIS GLISSON (D.O.) – Diagnostic Radiology Physician, NPI 1376503003

RICHARD DENNIS GLISSON (D.O.) is a healthcare provider. based in Gainesville, Florida. specializing in Diagnostic Radiology Physician. They hold the professional credentials D.O.. They hold a License No. OS21704 (FL). The NPI Number for RICHARD DENNIS GLISSON (D.O.) is 1376503003

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD DENNIS GLISSON (D.O.)
NPI
1376503003
Phone
(352) 265-0301
Address
1600 SW Archer Rd
Enumeration Date
25 March 2006
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037394999
Graduation Year
1990 (36 years ago)
PAC ID
6103915319
Group Practice PAC ID
2264408533
Professional Enrollment ID
I20090630000165
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for RICHARD DENNIS GLISSON (D.O.)

  • 1600 SW Archer Rd

    Gainesville, FL 326103003

    Phone: (352) 265-0301

    Type: Location

  • PO BOX 230

    GLASTONBURY, CT 060330230

    Phone: (860) 633-8806

    Fax: (860) 657-3788

    Type: Mailing

  • 1, Hebron Avenue, Deer Plaza, Glastonbury, Hartford County, Connecticut, 06033, United States

    GLASTONBURY, CT 06033

    Phone: (860) 633-8806

    Fax: (860) 657-3788

    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: 2024-12-11

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
I20090630000165IDiagnostic RadiologyCTTBD
I20241211003043IDiagnostic RadiologyVATBD

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
77063Screening 3d breast mammography8282$0
77067Screening mammography8282$0
72110X-ray of lower and sacral spine, minimum of 4 views7878$0
71045X-ray of chest, 1 view5857$0
77080Dxa bone density measurement of hip, pelvis, spine5353$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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Provider's Procedures

RICHARD DENNIS GLISSON (D.O.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCT71010X-ray of chest, 1 view, front5852
DIAGNOSTIC RADIOLOGYCT93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1313

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: 2264408533View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic Radiology, Interventional RadiologyVA
Diagnostic RadiologyAZ
Diagnostic RadiologyCT
Diagnostic RadiologyCT
Diagnostic RadiologyVA
Diagnostic RadiologyCT
Diagnostic RadiologyWI
Diagnostic RadiologyPA
Diagnostic RadiologyPA
Diagnostic RadiologyCT

Reviews

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Frequently asked questions

What identifier follows RICHARD DENNIS GLISSON (D.O.) across health systems?
The NPI 1376503003 uniquely identifies RICHARD DENNIS GLISSON (D.O.) in U.S. healthcare data.
Should I treat RICHARD DENNIS GLISSON (D.O.) as an active provider?
Patients and plans typically see RICHARD DENNIS GLISSON (D.O.) as active in the national extract.
Which specialty label fits RICHARD DENNIS GLISSON (D.O.)?
NPPES ties RICHARD DENNIS GLISSON (D.O.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is RICHARD DENNIS GLISSON (D.O.) tied to Gainesville, Florida?
If you are local to Gainesville, Florida, RICHARD DENNIS GLISSON (D.O.) may be relevant to your search.
Who maintains RICHARD DENNIS GLISSON (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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