GLEN SCOTT (PA-C) – Physician Assistant, NPI 1386245579

GLEN SCOTT (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113805 (FL). The NPI Number for GLEN SCOTT (PA-C) is 1386245579

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GLEN SCOTT (PA-C)
NPI
1386245579
Phone
(813) 660-6300
Address
2333 W HILLSBOROUGH AVE STE 160
Enumeration Date
4 November 2020
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892242338
Graduation Year
2020 (6 years ago)
PAC ID
1850700725
Group Practice PAC ID
5395658850
Professional Enrollment ID
I20231207003963
Address ID
MI488207108DE910XXDRXX301
Telehealth
Yes

Contacts

Secure Messaging
gscott214628@direct.tgh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for GLEN SCOTT (PA-C)

  • 2333 W HILLSBOROUGH AVE STE 160

    TAMPA, FL 336031061

    Phone: (813) 660-6300

    Fax: (813) 660-6620

    Type: Location

  • 4150 S CULVER TER

    INVERNESS, FL 344527719

    Phone: (586) 242-4397

    Type: Mailing

  • 3775 N LECANTO HWY

    BEVERLY HILLS, FL 344653559

    Phone: (352) 746-0600

    Type: Location

  • 801 Medical Ct E

    Inverness, FL 344524623

    Phone: (352) 765-3434

    Type: Location

  • 901 S Oakland St Ste 201

    Saint Johns, MI 488792255

    Phone: (989) 224-2338

    Type: Location

  • 3775 N Lecanto Hwy

    Beverly Hills, FL 344653559

    Phone: (352) 746-0600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $584.

Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: ABBVIE INC. ($213).

Total Amount

$584

General + Research + Ownership

Payments

5

Total payment records

General Amount

$584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

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: 2023-12-07

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
I20231207003963IPhysician AssistantMITBD

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 minutes7948$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 33603)

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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: 5395658850View full group profile
NameSpecialtyState
Family PracticeMI
-MI
General SurgeryMI
-MI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Family PracticeMI
Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How is GLEN SCOTT (PA-C) identified in CMS data?
CMS-hosted NPPES data lists GLEN SCOTT (PA-C) with NPI 1386245579.
Is GLEN SCOTT (PA-C) still practicing?
GLEN SCOTT (PA-C) is currently listed as active in the public NPI registry.
What is GLEN SCOTT (PA-C)'s specialty?
The listing groups GLEN SCOTT (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for GLEN SCOTT (PA-C)?
GLEN SCOTT (PA-C)'s geographic hint is Tampa, Florida in our summary view.
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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