MR. GLENN MASON (NP) – Nurse Practitioner, NPI 1184074643
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MR. GLENN MASON (NP)
17540 E Main St
Louisville, MS 393392772
Phone: (662) 328-1012
Type: Location
4 Professional Plz
Starkville, MS 397591901
Phone: (662) 328-1012
Type: Location
8613 MS Highway 12
Ackerman, MS 397358917
Phone: (662) 328-1012
Type: Location
670 LEIGH DR
COLUMBUS, MS 397053014
Phone: (662) 328-1012
Fax: (662) 328-1507
Type: Location
PO BOX 1326
STARKVILLE, MS 397601326
Phone: (662) 615-2830
Fax: (662) 615-2836
Type: Mailing
Hospital Road, Cherokee Heights, Starkville, Oktibbeha County, Mississippi, 39760, United States
STARKVILLE, MS 397592155
Phone: (662) 615-3741
Fax: (662) 615-3745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bioventus LLC ($108).
Total Amount
$204
General + Research + Ownership
Payments
11
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $108 |
| SI-BONE, INC. | $51 |
| Pacira Pharmaceuticals Incorporated | $28 |
| Kerecis Limited | $17 |
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: 2016-07-28
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 |
|---|---|---|---|---|
| I20160728001913 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 64 | 42 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 61 | 46 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 55 | 28 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 39339)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MS | |
| Orthopedic Surgery | MS | |
| Orthopedic Surgery | MS | |
| Nurse Practitioner | MS | |
| Interventional Pain Management, Anesthesiology | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Occupational Therapist In Private Practice | MS | |
| Physical Therapist In Private Practice | MS | |
| Physical Therapist In Private Practice | MS |
Reviews
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