SIMON MALCOLM GLYNN (MD) – Epilepsy Physician, NPI 1124173026
Epilepsy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 EPILEPTOLOGISTS in MI
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Provider Addresses for SIMON MALCOLM GLYNN (MD)
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
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: 2008-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080826000759 | I | Epileptologists | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 244 | 28 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 88 | 85 | $0 |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 62 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 53 | $0 |
| 95861 | Needle measurement of electrical activity in arm or leg muscles, 2 extremities | 47 | 46 | $0 |
Insurance plans in this area (ZIP 48109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | MI | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | MI | |
| Physician Assistant | MI |
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