DR. KENNETH DAVID GLASS (MD) – Psychiatry Physician, NPI 1417934340

DR. KENNETH DAVID GLASS (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35043556 (OH). The NPI Number for DR. KENNETH DAVID GLASS (MD) is 1417934340

Main info

Male
48 Years Of Experience
Name
DR. KENNETH DAVID GLASS (MD)
NPI
1417934340
Phone
(513) 948-3600
Address
1101 SUMMIT RD
Enumeration Date
30 December 2005
Last Update Date
5 August 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
9372231781
Graduation Year
1978 (48 years ago)
PAC ID
7315996949
Group Practice PAC ID
9234561838
Professional Enrollment ID
I20050201000467
Address ID
OH454323497DA1320XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

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Provider Addresses for DR. KENNETH DAVID GLASS (MD)

  • Summit Behavioral Center, 1101, Summit Road, Carthage, Cincinnati, Hamilton County, Ohio, 45237, United States

    CINCINNATI, OH 452372621

    Phone: (513) 948-3600

    Fax: (513) 948-8631

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: ABBVIE INC. ($250).

Total Amount

$265

General + Research + Ownership

Payments

17

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

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: 2005-02-01

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
I20050201000467IPsychiatryOHTBD

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 minutes36168$0
90834Psychotherapy, 45 minutes10011$0
View full utilization report →

Insurance plans in this area (ZIP 45237)

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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: 9234561838View full group profile
NameSpecialtyState
Internal MedicineOH
Psychiatry, Addiction Medicine, Geriatric Psychiatry, Interventional Pain Management, Pain ManagementOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Psychiatry, Geriatric PsychiatryOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

How do payers reference DR. KENNETH DAVID GLASS (MD)?
For DR. KENNETH DAVID GLASS (MD), use NPI 1417934340 as the unique 10-digit identifier.
Is there an active status for DR. KENNETH DAVID GLASS (MD)?
For scheduling context, DR. KENNETH DAVID GLASS (MD) is shown as active in the registry.
What clinical focus is listed for DR. KENNETH DAVID GLASS (MD)?
At a glance, DR. KENNETH DAVID GLASS (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. KENNETH DAVID GLASS (MD) registered?
Use Cincinnati, Ohio as the headline location for DR. KENNETH DAVID GLASS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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