DR. KENZIE LYNN GLASSBURN (MD) – Obstetrics & Gynecology Physician, NPI 1467026195
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. KENZIE LYNN GLASSBURN (MD)
513 N Main St
Anna, IL 629061697
Phone: (618) 833-4471
Fax: (618) 833-6267
Type: Location
109 CALIFORNIA ST
PO BOX 577
CARTERVILLE, IL 62918
Phone: (618) 519-9200
Type: Mailing
101 S WALL ST
CARBONDALE, IL 629013021
Phone: (618) 519-9200
Type: Location
405 S MORRISON RD APT 94
MUNCIE, IN 473044014
Phone:
Type: Mailing
801 OSTRUM ST
BETHLEHEM, PA 180151000
Phone: (484) 526-4761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).
Total Amount
$445
General + Research + Ownership
Payments
4
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $125 |
| Genmab U.S., Inc. | $125 |
| ImmunoGen, Inc. | $99 |
| Medtronic, Inc. | $97 |
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: 2025-07-23
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 |
|---|---|---|---|---|
| I20250723002629 | I | Obstetrics/Gynecology | IL | 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 62906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Internal Medicine | NJ | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
Reviews
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