DEREK GLAZIER (PA) – Physician Assistant, NPI 1043731771
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for DEREK GLAZIER (PA)
1500 E 2nd St Ste 300
Reno, NV 895021198
Phone: (775) 322-7811
Type: Location
10745 Double R Blvd
Reno, NV 895218979
Phone: (775) 322-7811
Fax: (775) 322-1431
Type: Location
Kietzke Lane, Reno, Washoe County, Nevada, United States
BLDG. A
RENO, NV 89511
Phone: (775) 322-7811
Fax: (775) 322-1431
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($125).
Total Amount
$444
General + Research + Ownership
Payments
12
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171207003351 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 800 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 795 | 658 | $0 |
| 81003 | Automated urinalysis test | 451 | 362 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 434 | 354 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 347 | 308 | $0 |
Insurance plans in this area (ZIP 89502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Radiation Oncology | NV | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| U R O L O G Y | NV | |
| U R O L O G Y | NV | |
| Physician Assistant | NV |
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