DR. GLENN R PROUDFOOT (MD) – Emergency Medicine Physician, NPI 1225068109
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for DR. GLENN R PROUDFOOT (MD)
429 RIDGE HILL TRL
SOMERSET, KY 425033511
Phone: (606) 677-9289
Fax: (606) 677-9289
Type: Mailing
Lake Cumberland Regional Hospital, 305, Langdon Street, Somerset, Pulaski County, Kentucky, 42501, United States
SOMERSET, KY 425032750
Phone: (606) 679-7441
Type: Location
305 Langdon St
Somerset, KY 425032750
Phone: (606) 679-7441
Type: Location
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-6200
Fax: (859) 258-6203
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: 2004-04-08
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 |
|---|---|---|---|---|
| I20040408000628 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 138 | 135 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 95 | 92 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 30 | 30 | $0 |
Insurance plans in this area (ZIP 42503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | GA | |
| Family Practice, Geriatric Medicine | AA | |
| Nurse Practitioner | KY | |
| Emergency Medicine, Internal Medicine | TN | |
| Internal Medicine | KY | |
| Family Practice, Internal Medicine | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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