DR. GLENN I LURA (MD) – Family Medicine Physician, NPI 1790747897

DR. GLENN I LURA (MD) is a healthcare provider. based in Trinity, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME85071 (FL). The NPI Number for DR. GLENN I LURA (MD) is 1790747897

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN I LURA (MD)
NPI
1790747897
Phone
(727) 312-3355
Address
11103 TRINITY BLVD
Enumeration Date
4 April 2006
Last Update Date
13 December 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7273123355
Graduation Year
1999 (27 years ago)
PAC ID
1153463799
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20100120000820
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GLENN I LURA (MD)

  • 11103, Trinity Boulevard, Trinity, Pasco County, Florida, 34655, United States

    TRINITY, FL 346554538

    Phone: (727) 312-3355

    Fax: (727) 312-3356

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($62).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2010-01-20

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
I20100120000820IFamily PracticeFLTBD

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 minutes5934$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
View full utilization report →

Insurance plans in this area (ZIP 34655)

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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: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

What is the registry number for DR. GLENN I LURA (MD)?
The registry entry for DR. GLENN I LURA (MD) shows NPI 1790747897.
Is DR. GLENN I LURA (MD)'s NPI status active today?
Active status means DR. GLENN I LURA (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. GLENN I LURA (MD) provide?
DR. GLENN I LURA (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. GLENN I LURA (MD) tied to Trinity, Florida?
If you are local to Trinity, Florida, DR. GLENN I LURA (MD) may be relevant to your search.
Why is information missing for DR. GLENN I LURA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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