GLENN L GOLDSTEIN (MD) – Colon & Rectal Surgery Physician, NPI 1346336575
Colon & Rectal Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
64 COLORECTAL SURGERY (PROCTOLOGY) in IN
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Provider Addresses for GLENN L GOLDSTEIN (MD)
7900, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States
SUITE 302
FORT WAYNE, IN 468044128
Phone: (260) 435-1900
Fax: (260) 435-1800
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)
CMS reports 16 Open Payments records for all available years, with a total value of $401.
Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($138).
Total Amount
$401
General + Research + Ownership
Payments
16
Total payment records
General Amount
$401
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $138 |
| Solventum Corporation | $55 |
| ABBVIE INC. | $34 |
| MIMEDX Group, Inc. | $29 |
| Aroa Biosurgery Incorporated | $28 |
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: 2005-08-17
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 |
|---|---|---|---|---|
| I20050817000156 | I | Colorectal Surgery (Proctology) | IN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 118 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 70 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 65 | 65 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 42 | 42 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| U R O L O G Y | MI | |
| Internal Medicine | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Family Practice | IN |
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