DR. GLENN SKOW (M.D., MPH, FAAFP) – Emergency Medicine Physician, NPI 1396987053

DR. GLENN SKOW (M.D., MPH, FAAFP) is a healthcare provider. based in Vandalia, Illinois. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D., MPH, FAAFP. They hold a License No. 258929 (NY). The NPI Number for DR. GLENN SKOW (M.D., MPH, FAAFP) is 1396987053

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN SKOW (M.D., MPH, FAAFP)
NPI
1396987053
Phone
(618) 283-5545
Address
825 NEW YORK DR STE 2
Enumeration Date
27 March 2009
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184986402
Graduation Year
2009 (17 years ago)
PAC ID
8224285135
Group Practice PAC ID
4587650445
Professional Enrollment ID
I20120829000085
Address ID
IL620522028JE400XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. GLENN SKOW (M.D., MPH, FAAFP)

  • 825 NEW YORK DR STE 2

    VANDALIA, IL 624711044

    Phone: (618) 283-5545

    Type: Location

  • 650 W TAYLOR ST

    VANDALIA, IL 624711227

    Phone: (618) 283-5136

    Type: Location

  • 233 Forest Ct

    Edwardsville, IL 620255389

    Phone: (917) 514-8740

    Type: Location

  • 400 Maple Summit Rd

    Jerseyville, IL 620522028

    Phone: (618) 498-6402

    Type: Location

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 $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2023-04-21 • Largest payer in this snapshot: Organogenesis Inc. ($130).

Total Amount

$130

General + Research + Ownership

Payments

2

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$130
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: 2012-08-29

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
I20120829000085IFamily PracticeILTBD

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
99283Emergency department visit with low level of medical decision making151138$0
99284Emergency department visit with moderate level of medical decision making9894$0
99285Emergency department visit with high level of medical decision making3736$0
99282Emergency department visit with straightforward medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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Provider's Procedures

DR. GLENN SKOW (M.D., MPH, FAAFP) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL81002Urinalysis, manual test1818

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: 4587650445View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-NY
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Cardiovascular Disease (Cardiology)MO
G A S T R O E N T E R O L O G YMO
-NC
-IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

How do payers reference DR. GLENN SKOW (M.D., MPH, FAAFP)?
For DR. GLENN SKOW (M.D., MPH, FAAFP), use NPI 1396987053 as the unique 10-digit identifier.
Is DR. GLENN SKOW (M.D., MPH, FAAFP) still an active registrant?
DR. GLENN SKOW (M.D., MPH, FAAFP) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. GLENN SKOW (M.D., MPH, FAAFP)?
At a glance, DR. GLENN SKOW (M.D., MPH, FAAFP) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. GLENN SKOW (M.D., MPH, FAAFP) registered?
Use Vandalia, Illinois as the headline location for DR. GLENN SKOW (M.D., MPH, FAAFP) here.
Does DR. GLENN SKOW (M.D., MPH, FAAFP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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