GLEN EDWARD JR. DIACON (MD) – Specialist, NPI 1588659957
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
134 UROLOGY in OK
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Provider Addresses for GLEN EDWARD JR. DIACON (MD)
Arlington Street, Ada, Pontotoc County, Oklahoma, 74820, United States
SUITE 2300
ADA, OK 748202643
Phone: (580) 332-0112
Fax: (580) 332-1005
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 30 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($248).
Total Amount
$558
General + Research + Ownership
Payments
30
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $248 |
| Medtronic, Inc. | $212 |
| Sumitomo Pharma America, Inc. | $45 |
| Janssen Biotech, Inc. | $25 |
| COLOPLAST CORP | $15 |
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: 2017-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110929000646 | I | Urology | OK | TBD |
| I20171227001888 | I | Urology | TX | 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 | 1,644 | 809 | $0 |
| 81003 | Automated urinalysis test | 1,108 | 602 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 402 | 313 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 287 | 240 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 283 | 259 | $0 |
Insurance plans in this area (ZIP 74820)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OK | |
| - | OK | |
| - | MO | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| O P T O M E T R Y | OK | |
| Nurse Practitioner | OK |
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