DR. GLENN KEITH MORAN (DO,FACOFP) – Family Medicine Physician, NPI 1801850672

DR. GLENN KEITH MORAN (DO,FACOFP) is a healthcare provider. based in Davie, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO,FACOFP. They hold a License No. OS5696 (FL). The NPI Number for DR. GLENN KEITH MORAN (DO,FACOFP) is 1801850672

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN KEITH MORAN (DO,FACOFP)
NPI
1801850672
Phone
(954) 472-5100
Address
3201 SW 135TH TER
Enumeration Date
17 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544722201
Graduation Year
1988 (38 years ago)
PAC ID
6901083682
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20110606000589
Address ID
FL333241853PL201XXAVEX401
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

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. GLENN KEITH MORAN (DO,FACOFP)

  • 3201, Southwest 135th Terrace, Davie, Broward County, Florida, 33330, United States

    DAVIE, FL 333304647

    Phone: (954) 472-5100

    Fax: (954) 472-5266

    Type: Mailing

  • 201, Northwest 82nd Avenue, Plantation, Broward County, Florida, 33337, United States

    PLANTATION, FL 333241856

    Phone: (954) 472-5100

    Fax: (954) 472-5266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $2,836.

Total Amount is formed as General ($2,836) + Research ($0) + Ownership ($0) = $2,836.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($739).

Total Amount

$2,836

General + Research + Ownership

Payments

140

Total payment records

General Amount

$2,836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2011-06-06

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
I20110606000589IFamily 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
36415Insertion of needle into vein for collection of blood sample560275$0
99214Established patient office or other outpatient visit, 30-39 minutes505237$0
99213Established patient office or other outpatient visit, 20-29 minutes232209$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit200200$0
99497Advance care planning, first 30 minutes185185$0
View full utilization report →

Insurance plans in this area (ZIP 33330)

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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: 8921091786View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

What federal number belongs to DR. GLENN KEITH MORAN (DO,FACOFP)?
The federal identifier for DR. GLENN KEITH MORAN (DO,FACOFP) is NPI 1801850672.
Is DR. GLENN KEITH MORAN (DO,FACOFP) active in the national directory?
DR. GLENN KEITH MORAN (DO,FACOFP)'s public NPI profile is in an active state.
Does DR. GLENN KEITH MORAN (DO,FACOFP) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. GLENN KEITH MORAN (DO,FACOFP). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GLENN KEITH MORAN (DO,FACOFP)?
The page summarizes Davie, Florida for DR. GLENN KEITH MORAN (DO,FACOFP); expand the address list for detail.
Is DR. GLENN KEITH MORAN (DO,FACOFP) a real provider?
This page reflects official NPPES data for NPI 1801850672. Always confirm identity and privileges with the practice and licensing boards.

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