DR. LISA M GLOSSON (M.D.) – Family Medicine Physician, NPI 1780642678

DR. LISA M GLOSSON (M.D.) is a healthcare provider. based in Woodstock, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036097016 (IL). The NPI Number for DR. LISA M GLOSSON (M.D.) is 1780642678

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M GLOSSON (M.D.)
NPI
1780642678
Phone
(815) 338-6600
Address
3707 DOTY RD STE G
Enumeration Date
2 May 2006
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2860534682
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20100116000203
Address ID
IL600987530WO3707XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. LISA M GLOSSON (M.D.)

  • Doty Road, Woodstock, McHenry County, Illinois, 60098, United States

    WOODSTOCK, IL 600987530

    Phone: (815) 338-6600

    Fax: (815) 338-9488

    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)

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: 2010-01-16

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
I20100116000203IFamily 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
J0897Injection, denosumab, 1 mg1,32014$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes671138$0
99214Established patient office or other outpatient visit, 30-39 minutes333224$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit257257$0
99213Established patient office or other outpatient visit, 20-29 minutes167131$0
View full utilization report →

Insurance plans in this area (ZIP 60098)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What identifier follows DR. LISA M GLOSSON (M.D.) across health systems?
The NPI 1780642678 uniquely identifies DR. LISA M GLOSSON (M.D.) in U.S. healthcare data.
Quick check: is DR. LISA M GLOSSON (M.D.) active?
Public NPPES data shows DR. LISA M GLOSSON (M.D.) with an active NPI status right now.
What services align with DR. LISA M GLOSSON (M.D.)'s listing?
DR. LISA M GLOSSON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. LISA M GLOSSON (M.D.)?
The directory associates DR. LISA M GLOSSON (M.D.) with Woodstock, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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