GLEN STANLEY ROSEBOROUGH (MD) – Vascular Surgery Physician, NPI 1518903186
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
79 VASCULAR SURGERY in OR
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Provider Addresses for GLEN STANLEY ROSEBOROUGH (MD)
2480, Liberty Street Northeast, Highland, Salem, Marion County, Oregon, 97311, United States
SUITE 110
SALEM, OR 973018381
Phone: (503) 371-1756
Fax: (503) 584-7971
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 20 Open Payments records for all available years, with a total value of $865.
Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inari Medical, Inc. ($770).
Total Amount
$865
General + Research + Ownership
Payments
20
Total payment records
General Amount
$865
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $770 |
| Silk Road Medical, Inc. | $94 |
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: 2025-05-01
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 |
|---|---|---|---|---|
| I20221216002410 | I | Vascular Surgery | VA | TBD |
| I20250501003290 | I | Vascular Surgery | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 79 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 57 | 55 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 27 | 25 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 20 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | OR | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 17 | 16 |
| VASCULAR SURGERY | OR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 70 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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