GLENNON JOHN OGRADY – Family Medicine Physician, NPI 1174502140

GLENNON JOHN OGRADY is a healthcare provider. based in Dorchester, Massachusetts. specializing in FAMILY PRACTICE. They hold a License No. 59292 (MA). The NPI Number for GLENNON JOHN OGRADY is 1174502140

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
GLENNON JOHN OGRADY
NPI
1174502140
Phone
(617) 506-4970
Address
2100 DORCHESTER AVENUE
Enumeration Date
10 January 2006
Last Update Date
23 March 2012

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6175695800
Graduation Year
1985 (41 years ago)
PAC ID
0042282378
Group Practice PAC ID
6103814371
Professional Enrollment ID
I20041207000246
Address ID
MA021281920EA10XXXSTXX300
Telehealth
Yes
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

1,899 FAMILY PRACTICE in MA

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Provider Addresses for GLENNON JOHN OGRADY

  • Carney Hospital, 2100, Dorchester Avenue, Lower Mills, Boston, Suffolk County, Massachusetts, 02124, United States

    FAMILY MEDICINE

    DORCHESTER, MA 02124

    Phone: (617) 506-4970

    Fax: (978) 686-4137

    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 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-01-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-19

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: 2004-12-07

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
I20041207000246IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9843$0
View full utilization report →

Insurance plans in this area (ZIP 02124)

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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: 6103814371View full group profile
NameSpecialtyState
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What number should I use to identify GLENNON JOHN OGRADY for billing?
Administrative and clinical systems typically use NPI 1174502140 for GLENNON JOHN OGRADY.
Is GLENNON JOHN OGRADY currently accepting referrals based on NPI status?
Registry metadata lists GLENNON JOHN OGRADY as active.
What services align with GLENNON JOHN OGRADY's listing?
GLENNON JOHN OGRADY's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit GLENNON JOHN OGRADY in Dorchester, Massachusetts?
For routing, start with Dorchester, Massachusetts for GLENNON JOHN OGRADY, then verify phone and hours locally.
Who maintains GLENNON JOHN OGRADY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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