DR. SEAN GLASS (MD) – Psychiatry Physician, NPI 1083938955

DR. SEAN GLASS (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 258687 (MA). The NPI Number for DR. SEAN GLASS (MD) is 1083938955

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN GLASS (MD)
NPI
1083938955
Phone
Not provided
Address
55 FRUIT ST
Enumeration Date
22 March 2010
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9719835214
Graduation Year
2010 (16 years ago)
PAC ID
8921224627
Group Practice PAC ID
8921901877
Professional Enrollment ID
I20180918003494
Address ID
OR970719263WO1475XAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,743 PSYCHIATRY in MA

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Provider Addresses for DR. SEAN GLASS (MD)

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142621

    Phone:

    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)

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: 2018-09-18

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
I20180918003494IPsychiatryORTBD

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 02114)

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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: 8921901877View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. SEAN GLASS (MD) using NPI 1083938955?
NPI 1083938955 belongs to DR. SEAN GLASS (MD); compare other details if you need extra assurance.
Would DR. SEAN GLASS (MD) appear as active to a payer?
You can treat DR. SEAN GLASS (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SEAN GLASS (MD)?
DR. SEAN GLASS (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. SEAN GLASS (MD) located near Boston?
DR. SEAN GLASS (MD) currently maps to Boston, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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