GLENN RIEGO PUERTOLLANO (MD) – Internal Medicine Physician, NPI 1679544381

GLENN RIEGO PUERTOLLANO (MD) is a healthcare provider. based in Pikeville, Kentucky. specializing in INTERNAL MEDICINE, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 38924 (KY). The NPI Number for GLENN RIEGO PUERTOLLANO (MD) is 1679544381

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
GLENN RIEGO PUERTOLLANO (MD)
NPI
1679544381
Phone
(606) 432-3221
Address
PO BOX 2748
Enumeration Date
30 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592267000
Graduation Year
1998 (28 years ago)
PAC ID
1254300395
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20040927000527
Address ID
KY405083008LE310XXLIME300
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

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for GLENN RIEGO PUERTOLLANO (MD)

  • Pikeville Post Office, Big Daddy's Road, Pikeville, Wayne County, North Carolina, 27863, United States

    RED RIVER HEALTH CARE

    PIKEVILLE, KY 415022748

    Phone: (606) 432-3221

    Fax: (606) 437-0438

    Type: Mailing

  • East College Avenue, Stanton, Powell County, Kentucky, 40380, United States

    RED RIVER HEALTH CARE

    STANTON, KY 40380

    Phone: (606) 663-9797

    Fax: (606) 663-9470

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: PFIZER INC. ($102).

Total Amount

$254

General + Research + Ownership

Payments

12

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

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: 2004-09-27

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
I20040927000527IInternal MedicineKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes606270$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes201115$0
99239Hospital discharge day management, more than 30 minutes191186$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes171166$0
99291Critical care, first 30-74 minutes2620$0
View full utilization report →

Insurance plans in this area (ZIP 41502)

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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: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Emergency Medicine, Internal MedicineMS
-MO
Family Practice, Hospitalist, Family PracticeFL
Internal MedicineTN
Internal MedicineSC
Internal MedicineNC
-TN

Reviews

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Frequently asked questions

Does GLENN RIEGO PUERTOLLANO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GLENN RIEGO PUERTOLLANO (MD) uses 1679544381.
Does CMS list GLENN RIEGO PUERTOLLANO (MD) as active?
Yes — GLENN RIEGO PUERTOLLANO (MD) is active in the NPI listing used on this page.
What taxonomy line describes GLENN RIEGO PUERTOLLANO (MD)?
For research purposes, treat GLENN RIEGO PUERTOLLANO (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is GLENN RIEGO PUERTOLLANO (MD) based?
GLENN RIEGO PUERTOLLANO (MD) is tied to Pikeville, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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