DEVIN GLASSES (PA-C) – Physician Assistant, NPI 1043209604

DEVIN GLASSES (PA-C) is a healthcare provider. based in Gallup, New Mexico. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for DEVIN GLASSES (PA-C) is 1043209604

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN GLASSES (PA-C)
NPI
1043209604
Phone
(505) 722-1000
Address
P.O. BOX 1337
Enumeration Date
17 October 2005
Last Update Date
25 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5057221000
Graduation Year
2005 (21 years ago)
PAC ID
4789608423
Group Practice PAC ID
3173436409
Professional Enrollment ID
I20061220000121
Address ID
NM873015748GA516XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

896 PHYSICIAN ASSISTANT in NM

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Provider Addresses for DEVIN GLASSES (PA-C)

  • P.O. BOX 1337

    GALLUP, NM 873051337

    Phone: (505) 722-1000

    Fax: (928) 810-3801

    Type: Mailing

  • 516, Nizhoni Boulevard, Gallup, McKinley County, New Mexico, 87301, United States

    GALLUP, NM 873015748

    Phone: (505) 722-1000

    Fax: (928) 810-3800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-12-20

PECOS data refreshed: 2026-06-15

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
I20061220000121IPhysician AssistantTXTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes204155$0
20610Aspiration and/or injection of fluid from large joint5141$0
View full utilization report →

Insurance plans in this area (ZIP 87305)

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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: 3173436409View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
P O D I A T R YNM
-TX
-NM
-CO
Diagnostic RadiologyMI
Certified Registered Nurse Anesthetist (Crna)NM
-NM
Certified Registered Nurse Anesthetist (Crna)AZ
Family PracticeNM

Reviews

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Frequently asked questions

What is DEVIN GLASSES (PA-C)'s NPI number?
DEVIN GLASSES (PA-C)'s NPI is 1043209604 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DEVIN GLASSES (PA-C)?
For scheduling context, DEVIN GLASSES (PA-C) is shown as active in the registry.
What kind of doctor is DEVIN GLASSES (PA-C)?
DEVIN GLASSES (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in New Mexico is DEVIN GLASSES (PA-C) registered?
Use Gallup, New Mexico as the headline location for DEVIN GLASSES (PA-C) here.
Does DEVIN GLASSES (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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