GLENN N CARLOS (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1083705842

GLENN N CARLOS (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in THORACIC SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 01046364A (IN). The NPI Number for GLENN N CARLOS (MD) is 1083705842

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
GLENN N CARLOS (MD)
NPI
1083705842
Phone
(317) 962-2500
Address
1801 N Senate Blvd
Enumeration Date
27 September 2006
Last Update Date
10 May 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9122731100
Graduation Year
1992 (34 years ago)
PAC ID
3971643453
Group Practice PAC ID
3678836558
Professional Enrollment ID
I20230726001337
Address ID
GA314046220SA4700XAVEX324
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

140 THORACIC SURGERY in IN

Provider Addresses for GLENN N CARLOS (MD)

  • 1801 N Senate Blvd

    Suite 3100

    Indianapolis, IN 462021196

    Phone: (317) 962-2500

    Fax: (317) 962-6259

    Type: Location

  • Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States

    SUITE 3100

    INDIANAPOLIS, IN 462021196

    Phone: (317) 962-2500

    Fax: (317) 962-6259

    Type: Location

  • North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States

    SUITE 130- PROVIDER ENROLLMENT

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 4700 WATERS AVE STE 403

    SAVANNAH, GA 314046220

    Phone: (912) 273-1150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $7,556.

Total Amount is formed as General ($7,556) + Research ($0) + Ownership ($0) = $7,556.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,131).

Total Amount

$7,556

General + Research + Ownership

Payments

51

Total payment records

General Amount

$7,556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-26

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
I20230726001337IThoracic SurgeryGATBD

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
99205New patient office or other outpatient visit, 60-74 minutes2828$0
99442Telephone medical discussion with physician, 11-20 minutes2121$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Provider's Procedures

GLENN N CARLOS (MD) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYIN33533Heart artery bypass to repair one artery2626

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: 3678836558View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Radiation OncologyNC
O B S T E T R I C S/ G Y N E C O L O G YGA
Oral And Maxillofacial Pathology, Dentist, PathologyNC
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerNC
O B S T E T R I C S/ G Y N E C O L O G YGA
General SurgeryTN

Reviews

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Frequently asked questions

What unique ID ties claims to GLENN N CARLOS (MD)?
NPI 1083705842 is assigned to GLENN N CARLOS (MD) under the national enumeration system.
Is GLENN N CARLOS (MD)'s NPI currently valid?
The extract we use shows GLENN N CARLOS (MD) as active.
Does GLENN N CARLOS (MD) list a primary specialty?
If you are matching referrals, note Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for GLENN N CARLOS (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for GLENN N CARLOS (MD)?
The page summarizes Indianapolis, Indiana for GLENN N CARLOS (MD); expand the address list for detail.
How can I contact GLENN N CARLOS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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