DR. GLYNNE STANLEY (MD) – Anesthesiology Physician, NPI 1174509269

DR. GLYNNE STANLEY (MD) is a healthcare provider. based in Portland, Maine. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 150109 (MA). The NPI Number for DR. GLYNNE STANLEY (MD) is 1174509269

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLYNNE STANLEY (MD)
NPI
1174509269
Phone
(207) 662-2526
Address
22 Bramhall St
Enumeration Date
20 December 2005
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076622526
Graduation Year
1983 (43 years ago)
PAC ID
5890793244
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20240418002932
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

285 ANESTHESIOLOGY in ME

Provider Addresses for DR. GLYNNE STANLEY (MD)

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 662-2526

    Fax: (207) 866-2623

    Type: Location

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    SUITE 325

    WESTWOOD, MA 020902321

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    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: 2024-04-18

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
I20061117000393IAnesthesiologyMATBD
I20240418002932IAnesthesiologyMETBD

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
00910Anesthesia for other procedure on urinary system through urethra2422$0
00670Anesthesia for extensive surgery on spine2424$0
00790Anesthesia for other procedure on upper abdomen2120$0
00902Anesthesia for procedure on anus and rectum1717$0
01402Anesthesia for procedure for total knee joint replacement1717$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 7618871245View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. GLYNNE STANLEY (MD) using NPI 1174509269?
NPI 1174509269 belongs to DR. GLYNNE STANLEY (MD); compare other details if you need extra assurance.
Is there an active status for DR. GLYNNE STANLEY (MD)?
For scheduling context, DR. GLYNNE STANLEY (MD) is shown as active in the registry.
What kind of doctor is DR. GLYNNE STANLEY (MD)?
DR. GLYNNE STANLEY (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GLYNNE STANLEY (MD)?
Directory geography for DR. GLYNNE STANLEY (MD) centers on Portland, Maine.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.