DR. LISA MARIE GLASS (M.D.) – Gastroenterology Physician, NPI 1154521177
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
Provider Addresses for DR. LISA MARIE GLASS (M.D.)
5300 ELLIOTT DR
YPSILANTI, MI 481978632
Phone: (734) 822-2826
Fax: (734) 434-9517
Type: Mailing
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 481095362
Phone: (734) 647-5944
Type: Location
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Intercept Pharmaceuticals, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intercept Pharmaceuticals, Inc. | $14 |
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: 2014-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140807002471 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 121 | 119 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | 66 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 | 59 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 47 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 26 | $0 |
Insurance plans in this area (ZIP 48197)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | ID | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Anesthesiology, Interventional Pain Management | MI | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
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