ROBERT S. GLICKENBERGER (MD) – Gastroenterology Physician, NPI 1407966690
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for ROBERT S. GLICKENBERGER (MD)
545 Valley View Dr
Moline, IL 612656138
Phone: (309) 762-5560
Fax: (309) 762-7351
Type: Location
1100, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627024968
Phone: (217) 545-8000
Fax: (217) 545-4735
Type: Location
PO BOX 19636
SPRINGFIELD, IL 627949636
Phone: (217) 545-8000
Fax: (217) 545-4735
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 185 Open Payments records for all available years, with a total value of $3,736.
Total Amount is formed as General ($3,736) + Research ($0) + Ownership ($0) = $3,736.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,654).
Total Amount
$3,736
General + Research + Ownership
Payments
185
Total payment records
General Amount
$3,736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,654 |
| Janssen Biotech, Inc. | $329 |
| Phathom Pharmaceuticals, Inc. | $323 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $260 |
| Ardelyx, Inc. | $147 |
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: 2018-07-31
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 |
|---|---|---|---|---|
| I20180731000115 | I | Gastroenterology | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 317 | 249 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 308 | 218 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 87 | 87 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 80 | 79 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | NY | |
| - | FL | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL |
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