KATHLEEN A GLENN (PA) – Physician Assistant, NPI 1386177749
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for KATHLEEN A GLENN (PA)
2821, New Hartford Road, Owensboro, Daviess County, Kentucky, 42303, United States
OWENSBORO, KY 423031320
Phone: (270) 685-5777
Fax: (270) 685-0190
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 114 Open Payments records for all available years, with a total value of $2,232.
Total Amount is formed as General ($2,232) + Research ($0) + Ownership ($0) = $2,232.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($370).
Total Amount
$2,232
General + Research + Ownership
Payments
114
Total payment records
General Amount
$2,232
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170718001890 | I | Physician Assistant | IN | TBD |
| I20200110001105 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 529 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 166 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 162 | 121 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 75 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 69 | 69 | $0 |
Insurance plans in this area (ZIP 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | KY | |
| Physician Assistant | KY |
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