DR. GLEN S LOVELACE (MD) – Obstetrics Physician, NPI 1720023930
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
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Provider Addresses for DR. GLEN S LOVELACE (MD)
260, North 1st Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837026132
Phone: (208) 345-3136
Fax: (208) 345-0984
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 62 Open Payments records for all available years, with a total value of $4,225.
Total Amount is formed as General ($4,225) + Research ($0) + Ownership ($0) = $4,225.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: MIMEDX Group, Inc. ($2,600).
Total Amount
$4,225
General + Research + Ownership
Payments
62
Total payment records
General Amount
$4,225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $2,600 |
| ABBVIE INC. | $357 |
| Exact Sciences Corporation | $282 |
| Myriad Women's Health, Inc. | $245 |
| MAYNE PHARMA COMMERCIAL LLC | $160 |
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: 2011-01-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110103000356 | I | Obstetrics/Gynecology | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83702)
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