GLEN R PATRIZIO (MD) – Family Medicine Physician, NPI 1962484592
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GLEN R PATRIZIO (MD)
1610 Woods Ct
Hood River, OR 970312911
Phone: (541) 296-5452
Fax: (541) 296-1537
Type: Location
1060 Webber St
The Dalles, OR 970583749
Phone: (541) 296-5452
Fax: (541) 296-1537
Type: Location
15 S Grady Way
Renton, WA 980573220
Phone: (916) 307-6458
Fax: (916) 490-3712
Type: Location
6500 S MacAdam Ave Ste 160
Portland, OR 972393566
Phone: (866) 238-8010
Type: Location
4355, West Ridge Drive, Hood River County, Oregon, 97031, United States
HOOD RIVER, OR 970317734
Phone: (541) 705-7505
Fax: (971) 244-9050
Type: Location
1625 WOODS CT STE 102
HOOD RIVER, OR 970312919
Phone: (541) 436-2960
Fax: (541) 436-2961
Type: Location
4355 W Ridge Dr
Hood River, OR 970317734
Phone: (541) 705-7505
Fax: (971) 244-9050
Type: Location
1060 WEBBER ST
THE DALLES, OR 970583749
Phone: (541) 296-5452
Fax: (541) 296-1537
Type: Location
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: 2007-11-20
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 |
|---|---|---|---|---|
| I20071120000112 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR | |
| P S Y C H I A T R Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR | |
| - | OR | |
| Mental Health Counselor | OR |
Reviews
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