KATHRYN J GLASS (MD) – Family Medicine Physician, NPI 1679527923

KATHRYN J GLASS (MD) is a healthcare provider. based in Paducah, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 38858 (KY). The NPI Number for KATHRYN J GLASS (MD) is 1679527923

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN J GLASS (MD)
NPI
1679527923
Phone
(270) 538-5596
Address
1532 Lone Oak Rd
Enumeration Date
20 May 2006
Last Update Date
18 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7315875321
Graduation Year
1995 (31 years ago)
PAC ID
2466426242
Group Practice PAC ID
5193070613
Professional Enrollment ID
I20200513002113
Address ID
TN382373309MA143XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Provider Addresses for KATHRYN J GLASS (MD)

  • 1532 Lone Oak Rd

    Suite 150

    Paducah, KY 420037940

    Phone: (270) 538-5596

    Fax: (270) 538-5597

    Type: Location

  • 305, Golf Club Lane, Mayfield, Graves County, Kentucky, 42066, United States

    MAYFIELD, KY 420661316

    Phone: (270) 970-1217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Exact Sciences Corporation ($62).

Total Amount

$128

General + Research + Ownership

Payments

6

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-05-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040826000128IFamily PracticeKYTBD
I20200513002113IFamily PracticeTNTBD

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 42003)

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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: 5193070613View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KATHRYN J GLASS (MD)?
Save NPI 1679527923 if you need a stable reference for KATHRYN J GLASS (MD).
Does this profile mean KATHRYN J GLASS (MD) is currently active?
Yes — KATHRYN J GLASS (MD) appears active in the national provider directory.
What does KATHRYN J GLASS (MD) treat or focus on?
Patients typically see KATHRYN J GLASS (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KATHRYN J GLASS (MD) practice in Kentucky?
You will see Paducah, Kentucky on file for KATHRYN J GLASS (MD) alongside any extra practice locations.
What if Paducah, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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