GLENN M WULF (PA-C) – Physician Assistant, NPI 1144226754
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for GLENN M WULF (PA-C)
2200 NE NETT RD
SUITE 200
BEND, OR 977014281
Phone: (541) 382-3344
Fax: (541) 382-1681
Type: Mailing
2200 NE NEFF RD STE 200
BEND, OR 977014281
Phone: (541) 382-3344
Fax: (541) 382-1681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Nalu Medical, Inc. ($49).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $49 |
| MIMEDX Group, Inc. | $42 |
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: 2004-08-04
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 |
|---|---|---|---|---|
| I20040804000030 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 442 | 65 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 337 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 141 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 183 | 61 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 144 | 44 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NM | |
| Hand Surgery | OR | |
| Hospice/Palliative Care, Internal Medicine | OR | |
| Physician Assistant | OR | |
| Physician Assistant | UT | |
| Physician Assistant | OR | |
| Thoracic Surgery | MI | |
| Internal Medicine | OR | |
| General Surgery | OR | |
| Physician Assistant | TX |
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