MR. MICHAEL LEE GLASS (MD) – Obstetrics & Gynecology Physician, NPI 1750362836

MR. MICHAEL LEE GLASS (MD) is a healthcare provider. based in Edmond, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 11886 (OK). The NPI Number for MR. MICHAEL LEE GLASS (MD) is 1750362836

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL LEE GLASS (MD)
NPI
1750362836
Phone
(405) 341-9996
Address
3815 S BOULEVARD ST
Enumeration Date
7 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4053419996
Graduation Year
1977 (49 years ago)
PAC ID
7810975893
Professional Enrollment ID
I20040708000303
Address ID
OK730135178ED1616XBOUL301
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

480 OBSTETRICS/GYNECOLOGY in OK

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Provider Addresses for MR. MICHAEL LEE GLASS (MD)

  • 3815, South Boulevard Street, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 730135479

    Phone: (405) 341-9996

    Fax: (405) 330-3566

    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)

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: 2004-07-08

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
I20040708000303IObstetrics/GynecologyOKTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4242$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. MICHAEL LEE GLASS (MD)?
MR. MICHAEL LEE GLASS (MD) — NPI 1750362836 — is the standard way to identify this listing.
Does CMS list MR. MICHAEL LEE GLASS (MD) as active?
Yes — MR. MICHAEL LEE GLASS (MD) is active in the NPI listing used on this page.
What healthcare role does MR. MICHAEL LEE GLASS (MD) hold?
Scheduling teams often label MR. MICHAEL LEE GLASS (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL LEE GLASS (MD)?
MR. MICHAEL LEE GLASS (MD)'s geographic hint is Edmond, Oklahoma in our summary view.
Why does MR. MICHAEL LEE GLASS (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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