CHARLES C GLASS (PA-C) – Physician Assistant, NPI 1003219304

CHARLES C GLASS (PA-C) is a healthcare provider. based in Saint joseph, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2015022139 (MO). The NPI Number for CHARLES C GLASS (PA-C) is 1003219304

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES C GLASS (PA-C)
NPI
1003219304
Phone
(816) 364-1507
Address
1419 VILLAGE DR
Enumeration Date
30 September 2014
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853314488
Graduation Year
2014 (12 years ago)
PAC ID
8820219306
Group Practice PAC ID
4981592334
Professional Enrollment ID
I20141027001015
Address ID
KS660472213LA3511XCXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for CHARLES C GLASS (PA-C)

  • 1419 VILLAGE DR

    SAINT JOSEPH, MO 645062459

    Phone: (816) 364-1507

    Fax: (785) 632-2309

    Type: Mailing

  • 3511 Clinton Pl Ste C

    Lawrence, KS 660472213

    Phone: (785) 331-4488

    Fax: (785) 331-4338

    Type: Location

  • 2200 SW 6TH AVE STE 104

    TOPEKA, KS 666061707

    Phone: (785) 354-8518

    Fax: (785) 354-1255

    Type: Mailing

  • 3550 S 4TH ST STE 250

    LEAVENWORTH, KS 660485061

    Phone: (913) 565-2569

    Fax: (913) 565-2571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 320 Open Payments records for all available years, with a total value of $5,274.

Total Amount is formed as General ($5,274) + Research ($0) + Ownership ($0) = $5,274.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($975).

Total Amount

$5,274

General + Research + Ownership

Payments

320

Total payment records

General Amount

$5,274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2014-10-27

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
I20141027001015IPhysician AssistantKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes877585$0
17003Destruction of precancer skin growth, 2-14 growths686141$0
99203New patient office or other outpatient visit, 30-44 minutes342342$0
17110Destruction of skin growth, 1-14 growths248212$0
17000Destruction of precancer skin growth, 1 growth235199$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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Provider's Procedures

CHARLES C GLASS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1919
PHYSICIAN ASSISTANTMO17003Destruction of 2-14 skin growths861167

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: 4981592334View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyKS
D E R M A T O L O G YKS
P A T H O L O G YKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
-KS
Physician AssistantMO
Physician AssistantKS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

Can I verify CHARLES C GLASS (PA-C) with an NPI only?
You can start verification with NPI 1003219304 for CHARLES C GLASS (PA-C), then check state licensing separately.
Is CHARLES C GLASS (PA-C) listed as active for patients and plans?
The listing shows CHARLES C GLASS (PA-C) as active in the NPI system.
What healthcare role does CHARLES C GLASS (PA-C) hold?
Scheduling teams often label CHARLES C GLASS (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does CHARLES C GLASS (PA-C) list a practice location?
Patients near Saint Joseph, Missouri may find CHARLES C GLASS (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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