GLENN G. FORT (MD) – Internal Medicine Physician, NPI 1114900024

GLENN G. FORT (MD) is a healthcare provider. based in Woonsocket, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD07281 (RI). The NPI Number for GLENN G. FORT (MD) is 1114900024

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
GLENN G. FORT (MD)
NPI
1114900024
Phone
(401) 766-3428
Address
115 CASS AVE
Enumeration Date
23 November 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
40176941002078
Graduation Year
1983 (43 years ago)
PAC ID
3072557024
Group Practice PAC ID
8921252354
Professional Enrollment ID
I20050610000700
Address ID
RI028954705WO115XXAVEX300
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

1,158 INTERNAL MEDICINE in RI

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Provider Addresses for GLENN G. FORT (MD)

  • Landmark Medical Center, 115, Cass Avenue, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States

    LANDMARK MEDICAL CENTER

    WOONSOCKET, RI 02895

    Phone: (401) 766-3428

    Fax: (401) 767-1633

    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 23 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: PFIZER INC. ($212).

Total Amount

$659

General + Research + Ownership

Payments

23

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2005-06-10

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
I20050610000700IInternal MedicineRITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6054$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 02895)

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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: 8921252354View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineRI

Reviews

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Frequently asked questions

Is there an official ID for GLENN G. FORT (MD) in U.S. healthcare records?
The official identifier for GLENN G. FORT (MD) is NPI 1114900024.
Would GLENN G. FORT (MD) appear as active to a payer?
You can treat GLENN G. FORT (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for GLENN G. FORT (MD)?
At a glance, GLENN G. FORT (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GLENN G. FORT (MD) associated with Woonsocket?
Public fields place GLENN G. FORT (MD) around Woonsocket, Rhode Island. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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