MR. CLIFFORD RAY COLGLAZIER (MD) – General Practice Physician, NPI 1285631721

MR. CLIFFORD RAY COLGLAZIER (MD) is a healthcare provider. based in Grant, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. NE14390 (NE). The NPI Number for MR. CLIFFORD RAY COLGLAZIER (MD) is 1285631721

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
MR. CLIFFORD RAY COLGLAZIER (MD)
NPI
1285631721
Phone
(308) 352-7100
Address
912 CENTRAL AVE
Enumeration Date
30 June 2005
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083527100
Graduation Year
1975 (51 years ago)
PAC ID
7810036621
Group Practice PAC ID
0840109823
Professional Enrollment ID
I20091207000651
Address ID
NE691403099GR912XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

954 FAMILY PRACTICE in NE

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Provider Addresses for MR. CLIFFORD RAY COLGLAZIER (MD)

  • 912 CENTRAL AVE

    GRANT, NE 691403099

    Phone: (308) 352-7100

    Type: Mailing

  • Gila Flat Trail #97, Grant County, New Mexico, United States

    GRANT, NE 691400097

    Phone: (308) 352-2122

    Type: Mailing

  • Washington Avenue, Warden, Grant County, Washington, 98857, United States

    GRANT, NE 691403044

    Phone: (308) 352-2122

    Fax: (308) 352-2281

    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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
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: 2009-12-07

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
I20091207000651IFamily PracticeNETBD

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 minutes337225$0
36415Insertion of needle into vein for collection of blood sample10298$0
99214Established patient office or other outpatient visit, 30-39 minutes9989$0
99212Established patient office or other outpatient visit, 10-19 minutes8369$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6827$0
View full utilization report →

Insurance plans in this area (ZIP 69140)

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Provider's Procedures

MR. CLIFFORD RAY COLGLAZIER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE81002Urinalysis, manual test1715
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle187187

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: 0840109823View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Nurse PractitionerNE
Nurse PractitionerNE
Orthopedic SurgeryCO
-CO

Reviews

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Frequently asked questions

What identifier follows MR. CLIFFORD RAY COLGLAZIER (MD) across health systems?
The NPI 1285631721 uniquely identifies MR. CLIFFORD RAY COLGLAZIER (MD) in U.S. healthcare data.
Is MR. CLIFFORD RAY COLGLAZIER (MD)'s NPI status active today?
Active status means MR. CLIFFORD RAY COLGLAZIER (MD)'s NPI record is not deactivated in the public file.
What type of care does MR. CLIFFORD RAY COLGLAZIER (MD) provide?
MR. CLIFFORD RAY COLGLAZIER (MD)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
Is MR. CLIFFORD RAY COLGLAZIER (MD) tied to Grant, Nebraska?
If you are local to Grant, Nebraska, MR. CLIFFORD RAY COLGLAZIER (MD) may be relevant to your search.
Can I export MR. CLIFFORD RAY COLGLAZIER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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