MR. GLYN E. JONES (MD) – Plastic Surgery Physician, NPI 1366462475

MR. GLYN E. JONES (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. 036118115 (IL). The NPI Number for MR. GLYN E. JONES (MD) is 1366462475

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLYN E. JONES (MD)
NPI
1366462475
Phone
(309) 495-0200
Address
1001 MAIN STREET
Enumeration Date
20 July 2006
Last Update Date
1 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093037875
Graduation Year
1977 (49 years ago)
PAC ID
9436256500
Group Practice PAC ID
6103256334
Professional Enrollment ID
I20070524000323
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GLYN E. JONES (MD)

  • 1001, Main Street, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61606, United States

    3RD FLOOR

    PEORIA, IL 616062037

    Phone: (309) 495-0200

    Fax: (309) 676-6545

    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 2 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2024-06-23 • Largest payer in this snapshot: ABBVIE INC. ($128).

Total Amount

$233

General + Research + Ownership

Payments

2

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$128
Kerecis Limited$105
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: 2007-05-24

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
I20070524000323IPlastic And Reconstructive SurgeryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61606)

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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: 6103256334View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryIL
Vascular SurgeryIL

Reviews

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Frequently asked questions

What is the standard ID for MR. GLYN E. JONES (MD) in the U.S.?
In the U.S., MR. GLYN E. JONES (MD) is identified by NPI 1366462475.
Does the public listing show MR. GLYN E. JONES (MD) as active?
MR. GLYN E. JONES (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. GLYN E. JONES (MD)?
NPPES ties MR. GLYN E. JONES (MD) to Plastic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. GLYN E. JONES (MD)?
The directory associates MR. GLYN E. JONES (MD) with Peoria, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MR. GLYN E. JONES (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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