BRADEN GLADYSZ – Physician Assistant, NPI 1104307719

BRADEN GLADYSZ is a healthcare provider. based in Greenville, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. OA004513 (PA). The NPI Number for BRADEN GLADYSZ is 1104307719

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADEN GLADYSZ
NPI
1104307719
Phone
Not provided
Address
13 SHADY AVE
Enumeration Date
22 August 2018
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
1658624531
Group Practice PAC ID
2062318975
Professional Enrollment ID
I20181023000605
Address ID
PA161483342HE449XXRDXX400

Contacts

Secure Messaging
braden.gladysz@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for BRADEN GLADYSZ

  • 13, Shady Avenue, Greenville, Mercer County, Pennsylvania, 16125, United States

    GREENVILLE MEDICAL CENTER

    GREENVILLE, PA 161251822

    Phone:

    Type: Mailing

  • 1599, North Hermitage Road, Lamonts Corners, Hermitage, Mercer County, Pennsylvania, 16148, United States

    GREENVILLE MEDICAL CENTER

    HERMITAGE, PA 161483180

    Phone: (724) 962-9622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,086.

Total Amount is formed as General ($2,086) + Research ($0) + Ownership ($0) = $2,086.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Stryker Corporation ($851).

Total Amount

$2,086

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,086

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-23

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
I20181023000605IPhysician AssistantPATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15881$0
99213Established patient office or other outpatient visit, 20-29 minutes138111$0
20610Aspiration and/or injection of fluid from large joint11182$0
99212Established patient office or other outpatient visit, 10-19 minutes9683$0
73502X-ray of hip, 2-3 views5947$0
View full utilization report →

Insurance plans in this area (ZIP 16125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062318975View full group profile
NameSpecialtyState
Family PracticePA
-PA
P S Y C H I A T R YPA
-PA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Internal MedicinePA
-PA
-PA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify BRADEN GLADYSZ for billing?
Administrative and clinical systems typically use NPI 1104307719 for BRADEN GLADYSZ.
Should I treat BRADEN GLADYSZ as an active provider?
Patients and plans typically see BRADEN GLADYSZ as active in the national extract.
What services align with BRADEN GLADYSZ's listing?
BRADEN GLADYSZ's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRADEN GLADYSZ tied to Greenville, Pennsylvania?
If you are local to Greenville, Pennsylvania, BRADEN GLADYSZ may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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