DR. GLEN RAY PATTON (DO) – Family Medicine Physician, NPI 1922073337
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
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Provider Addresses for DR. GLEN RAY PATTON (DO)
606, North Mulberry Road, Derby, Sedgwick County, Kansas, 67037, United States
DERBY, KS 670373532
Phone: (316) 788-3787
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 212 Open Payments records for all available years, with a total value of $3,632.
Total Amount is formed as General ($3,632) + Research ($0) + Ownership ($0) = $3,632.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($622).
Total Amount
$3,632
General + Research + Ownership
Payments
212
Total payment records
General Amount
$3,632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $622 |
| Novo Nordisk Inc | $538 |
| ABBVIE INC. | $452 |
| Lilly USA, LLC | $309 |
| Abbott Laboratories | $207 |
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: 2005-06-23
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 |
|---|---|---|---|---|
| I20050623000398 | I | Family Practice | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 485 | 227 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 474 | 262 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 456 | 61 | $0 |
| 81003 | Automated urinalysis test | 280 | 198 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 273 | 220 | $0 |
Insurance plans in this area (ZIP 67037)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| - | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | TN |
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