WILLIAM GLENN (MD) – Anesthesiology Physician, NPI 1265413215

WILLIAM GLENN (MD) is a healthcare provider. based in Augusta, Georgia. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 35068444 (OH). The NPI Number for WILLIAM GLENN (MD) is 1265413215

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM GLENN (MD)
NPI
1265413215
Phone
Not provided
Address
804 SCOTT NIXON MEMORIAL DR
Enumeration Date
8 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9372086173
Graduation Year
1993 (33 years ago)
PAC ID
3779529169
Group Practice PAC ID
8820902794
Professional Enrollment ID
I20050707000661
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

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Provider Addresses for WILLIAM GLENN (MD)

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone:

    Type: Mailing

  • Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    3RD FL, ANESTHESIA DEPT, ATTN: BARB

    DAYTON, OH 454092722

    Phone: (937) 208-4380

    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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Mindray DS USA, Inc. ($54).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2005-07-07

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
I20050707000661IAnesthesiologyOHTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30907)

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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: 8820902794View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-GA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What NPI should I save for WILLIAM GLENN (MD)?
Save NPI 1265413215 if you need a stable reference for WILLIAM GLENN (MD).
Is WILLIAM GLENN (MD) currently active in the NPI registry?
CMS-published data lists WILLIAM GLENN (MD) as an active registrant.
What field does WILLIAM GLENN (MD) work in?
You can think of WILLIAM GLENN (MD) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for WILLIAM GLENN (MD)?
We surface Augusta, Georgia for WILLIAM GLENN (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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