DR. GLENN THOMAS REYNOLDS (MD) – Cardiovascular Disease Physician, NPI 1881642551

DR. GLENN THOMAS REYNOLDS (MD) is a healthcare provider. based in Manhattan, Kansas. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. G63930 (CA). The NPI Number for DR. GLENN THOMAS REYNOLDS (MD) is 1881642551

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN THOMAS REYNOLDS (MD)
NPI
1881642551
Phone
(949) 351-1259
Address
PO BOX 1125
Enumeration Date
5 May 2006
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9184216987
Graduation Year
1987 (39 years ago)
PAC ID
8628262003
Group Practice PAC ID
9931139029
Professional Enrollment ID
I20191111001778
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. GLENN THOMAS REYNOLDS (MD)

  • PO BOX 1125

    MANHATTAN, KS 665051125

    Phone: (949) 351-1259

    Fax: (785) 285-6007

    Type: Mailing

  • DPRA, 200, Research Drive, Manhattan, Riley County, Kansas, 66503, United States

    MANHATTAN, KS 665033049

    Phone: (785) 539-4644

    Fax: (785) 539-8010

    Type: Mailing

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: 2018-04-09

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
I20180409000246ICardiovascular Disease (Cardiology)KSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66505)

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Provider's Procedures

DR. GLENN THOMAS REYNOLDS (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MT92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin3730
CARDIOVASCULAR DISEASE (CARDIOLOGY)MT93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart7876

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: 9931139029View full group profile

Reviews

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Frequently asked questions

How is DR. GLENN THOMAS REYNOLDS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. GLENN THOMAS REYNOLDS (MD) with NPI 1881642551.
Is DR. GLENN THOMAS REYNOLDS (MD) listed as active for patients and plans?
The listing shows DR. GLENN THOMAS REYNOLDS (MD) as active in the NPI system.
What healthcare role does DR. GLENN THOMAS REYNOLDS (MD) hold?
Scheduling teams often label DR. GLENN THOMAS REYNOLDS (MD) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What area does DR. GLENN THOMAS REYNOLDS (MD) serve?
DR. GLENN THOMAS REYNOLDS (MD)'s listing highlights Manhattan, Kansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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