GLENN TAYLOR (MD) – Family Medicine Physician, NPI 1689675878

GLENN TAYLOR (MD) is a healthcare provider. based in Novi, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301407458 (MI). The NPI Number for GLENN TAYLOR (MD) is 1689675878

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
GLENN TAYLOR (MD)
NPI
1689675878
Phone
(248) 465-4160
Address
26850 PROVIDENCE PKWY
Enumeration Date
10 August 2005
Last Update Date
21 May 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2484654160
Graduation Year
1986 (40 years ago)
PAC ID
3375521966
Group Practice PAC ID
0648180406
Professional Enrollment ID
I20040709001255
Address ID
MI483741262NO26850PKWY302
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

4,418 FAMILY PRACTICE in MI

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Provider Addresses for GLENN TAYLOR (MD)

  • Providence Parkway, Novi, Oakland County, Michigan, 48374:48393, United States

    SUITE 370

    NOVI, MI 483741213

    Phone: (248) 465-4160

    Fax: (248) 465-5425

    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 23 Open Payments records for all available years, with a total value of $424.

Total Amount is formed as General ($424) + Research ($0) + Ownership ($0) = $424.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($146).

Total Amount

$424

General + Research + Ownership

Payments

23

Total payment records

General Amount

$424

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2004-07-09

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
I20040709001255IFamily PracticeMITBD

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 minutes17593$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
99213Established patient office or other outpatient visit, 20-29 minutes4339$0
G0008Administration of influenza virus vaccine2424$0
90662Influenza vaccine split virus, preservative free2222$0
View full utilization report →

Insurance plans in this area (ZIP 48374)

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Provider's Procedures

GLENN TAYLOR (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI83036Hemoglobin A1C level12348

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: 0648180406View full group profile
NameSpecialtyState
Dentist, General Practice, Maxillofacial Surgery, General PracticeMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Family PracticeMI
N E U R O L O G YMI
Colorectal Surgery (Proctology)MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check GLENN TAYLOR (MD) using NPI 1689675878?
NPI 1689675878 belongs to GLENN TAYLOR (MD); compare other details if you need extra assurance.
Would GLENN TAYLOR (MD) appear as active to a payer?
You can treat GLENN TAYLOR (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to GLENN TAYLOR (MD)?
GLENN TAYLOR (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GLENN TAYLOR (MD)?
Travel planning: use Novi, Michigan as the reference point for GLENN TAYLOR (MD), then confirm.
When was this NPI issued?
Enumeration for GLENN TAYLOR (MD) is noted as August 10, 2005 where the registry provides it.

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