MISS CIARA GLENN (PA-C) – Physician Assistant, NPI 1780213553

MISS CIARA GLENN (PA-C) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085008403 (IL). The NPI Number for MISS CIARA GLENN (PA-C) is 1780213553

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MISS CIARA GLENN (PA-C)
NPI
1780213553
Phone
(314) 577-8000
Address
3635 VISTA AVE
Enumeration Date
3 April 2020
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4789082173
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20211015001410
Address ID
MO631041016SA1225XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for MISS CIARA GLENN (PA-C)

  • 3635 VISTA AVE

    SAINT LOUIS, MO 631102539

    Phone: (314) 577-8000

    Type: Mailing

  • 1225 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-3390

    Fax: (314) 617-2113

    Type: Location

  • 3437 CAROLINE ST BLDG 3025

    SAINT LOUIS, MO 631041111

    Phone: (314) 977-7021

    Type: Mailing

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 223-8400

    Fax: (217) 277-3960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,173.

Total Amount is formed as General ($1,173) + Research ($0) + Ownership ($0) = $1,173.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Elite Orthopedics, Llc ($657).

Total Amount

$1,173

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211015001410IPhysician AssistantMOTBD
I20211022001147IPhysician AssistantILTBD

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
27447Replacement of knee joint, both sides of knee6159$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope1717$0
29827Repair of shoulder rotator cuff using an endoscope1717$0
23472Prosthetic repair of shoulder joint, total shoulder1111$0
29828Release of tendon connecting biceps muscle and shoulder using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What federal number belongs to MISS CIARA GLENN (PA-C)?
The federal identifier for MISS CIARA GLENN (PA-C) is NPI 1780213553.
Is MISS CIARA GLENN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MISS CIARA GLENN (PA-C) treat or focus on?
Patients typically see MISS CIARA GLENN (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MISS CIARA GLENN (PA-C) practice in Missouri?
You will see Saint Louis, Missouri on file for MISS CIARA GLENN (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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