DR. LISA MARIE GLASS (M.D.) – Gastroenterology Physician, NPI 1154521177

DR. LISA MARIE GLASS (M.D.) is a healthcare provider. based in Ypsilanti, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301090095 (MI). The NPI Number for DR. LISA MARIE GLASS (M.D.) is 1154521177

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA MARIE GLASS (M.D.)
NPI
1154521177
Phone
(734) 822-2826
Address
5300 ELLIOTT DR
Enumeration Date
18 July 2007
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
5175455450
Graduation Year
2007 (19 years ago)
PAC ID
6608093091
Group Practice PAC ID
0840288221
Professional Enrollment ID
I20140807002471
Address ID
MI488431002HO620XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
hurongastro@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:18State licenses:1Other names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140807002471IGastroenterologyMITBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare121119$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6666$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6059$0
45380Biopsy of large bowel using a flexible endoscope4747$0
99214Established patient office or other outpatient visit, 30-39 minutes3126$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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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: 0840288221View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Physician AssistantMI
Nurse PractitionerID
Certified Registered Nurse Anesthetist (Crna)MI
G A S T R O E N T E R O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
Physician AssistantMI
Clinical Social WorkerMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LISA MARIE GLASS (M.D.)?
DR. LISA MARIE GLASS (M.D.) — NPI 1154521177 — is the standard way to identify this listing.
Is DR. LISA MARIE GLASS (M.D.) still practicing?
DR. LISA MARIE GLASS (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. LISA MARIE GLASS (M.D.)?
For research purposes, treat DR. LISA MARIE GLASS (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. LISA MARIE GLASS (M.D.) based?
DR. LISA MARIE GLASS (M.D.) is tied to Ypsilanti, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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