MARK S GLAZER (MD) – Diagnostic Radiology Physician, NPI 1396823878
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
1,102 DIAGNOSTIC RADIOLOGY in WI
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Provider Addresses for MARK S GLAZER (MD)
PO BOX 735044
CHICAGO, IL 606735044
Phone:
Type: Mailing
100, 15th Avenue, South Towne, South Milwaukee, Milwaukee County, Wisconsin, 53172, United States
STE 180
SOUTH MILWAUKEE, WI 531721160
Phone: (414) 768-5430
Fax: (414) 762-4225
Type: Mailing
2000, East Layton Avenue, Saint Francis, Milwaukee County, Wisconsin, 53235, United States
ST FRANCIS, WI 532356053
Phone: (414) 744-6589
Fax: (414) 747-8848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040428001193 | I | Diagnostic Radiology | WI | TBD |
| I20241016001248 | I | Diagnostic Radiology | AZ | TBD |
| I20250402002109 | I | Diagnostic Radiology | CO | TBD |
| I20250620000969 | I | Diagnostic Radiology | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,921 | 19 | $0 |
| 71045 | X-ray of chest, 1 view | 738 | 681 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 302 | 298 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 270 | 269 | $0 |
| 70450 | Ct scan head or brain without contrast | 237 | 236 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 27 | 27 |
| DIAGNOSTIC RADIOLOGY | WI | 73110 | X-ray of wrist, minimum of 3 views | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | WI | 73562 | X-ray of knee, 3 views | 44 | 36 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 49 | 41 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | WI | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | VT | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology, Interventional Radiology | CT | |
| - | CT | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | PA |
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