DR. DAVID GLICK (M.D.) – Family Medicine Physician, NPI 1679557177
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DR. DAVID GLICK (M.D.)
401, Holly Hills Avenue, Carondelet, City of Saint Louis, Missouri, 63111, United States
SAINT LOUIS, MO 631112410
Phone: (314) 353-5190
Fax: (314) 353-1310
Type: Mailing
401 Holly Hills Ave
Saint Louis, MO 631112410
Phone: (314) 353-5190
Fax: (314) 353-1310
Type: Location
1395 NW 167TH ST
MIAMI GARDENS, FL 331695710
Phone: (314) 391-9777
Fax: (314) 390-5404
Type: Mailing
175 N OAKS PLZ
SAINT LOUIS, MO 631212925
Phone: (314) 391-9777
Fax: (314) 390-5404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $8.
Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Organon LLC ($8).
Total Amount
$8
General + Research + Ownership
Payments
2
Total payment records
General Amount
$8
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $8 |
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: 2011-01-11
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 |
|---|---|---|---|---|
| I20110111000302 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 17 | 13 | $0 |
Insurance plans in this area (ZIP 63111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 83036 | Hemoglobin A1C level | 44 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E N T I S T | MO | |
| - | MO | |
| - | MO | |
| Clinical Social Worker | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO |
Reviews
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