DR. GLENN GIDSEG (M.D.) – Internal Medicine Physician, NPI 1417935990

DR. GLENN GIDSEG (M.D.) is a healthcare provider. based in Marathon, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME30630 (FL). The NPI Number for DR. GLENN GIDSEG (M.D.) is 1417935990

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN GIDSEG (M.D.)
NPI
1417935990
Phone
(954) 363-1011
Address
365 STIRRUP KEY BLVD
Enumeration Date
5 January 2006
Last Update Date
27 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543631011
Graduation Year
1976 (50 years ago)
PAC ID
3779521299
Group Practice PAC ID
9335187855
Professional Enrollment ID
I20091202000239
Address ID
FL330502943MA365XXBLVD400
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

12,368 INTERNAL MEDICINE in FL

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

  • 365, Stirrup Key Boulevard, Marathon, Monroe County, Florida, 33050, United States

    MARATHON, FL 330502943

    Phone: (954) 363-1011

    Fax: (954) 531-0703

    Mailing address matches the actual address.

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: 2009-12-02

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
I20091202000239IInternal MedicineFLTBD

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
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a21992$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes20544$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes18673$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and133118$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month2014$0
View full utilization report →

Insurance plans in this area (ZIP 33050)

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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: 9335187855View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. GLENN GIDSEG (M.D.)?
The federal identifier for DR. GLENN GIDSEG (M.D.) is NPI 1417935990.
Is DR. GLENN GIDSEG (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. GLENN GIDSEG (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. GLENN GIDSEG (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. GLENN GIDSEG (M.D.) practice in Florida?
You will see Marathon, Florida on file for DR. GLENN GIDSEG (M.D.) alongside any extra practice locations.
How can I contact DR. GLENN GIDSEG (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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