DR. GLEN RAY HANSON (MD) – Surgery Physician, NPI 1497795652
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 GENERAL SURGERY in OK
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Provider Addresses for DR. GLEN RAY HANSON (MD)
849, Northeast 62nd Street, Topeka, Shawnee County, Kansas, 66617, United States
SHAWNEE, OK 748020849
Phone: (405) 273-5801
Fax: (405) 878-3814
Type: Mailing
SSM Health Saint Anthony Hospital - Shawnee Heliport, J D Kethley Road, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748049638
Phone: (405) 273-5801
Fax: (405) 878-3814
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $18 |
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: 2009-12-14
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 |
|---|---|---|---|---|
| I20091214000548 | I | General Surgery | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 277 | 275 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 161 | 160 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 61 | 60 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 32 | 32 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 26 | 26 | $0 |
Insurance plans in this area (ZIP 74802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OK | 45378 | Diagnostic examination of large bowel using an endoscope | 52 | 51 |
| GENERAL SURGERY | OK | 45385 | Removal of polyps or growths of large bowel using an endoscope | 20 | 20 |
| GENERAL SURGERY | OK | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| U R O L O G Y | OK | |
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Family Practice | OK | |
| Family Practice | OK |
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