MR. MARK WILLIAM GLASS – Surgical Physician Assistant, NPI 1013021161

MR. MARK WILLIAM GLASS is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA02857 (TX). The NPI Number for MR. MARK WILLIAM GLASS is 1013021161

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK WILLIAM GLASS
NPI
1013021161
Phone
(214) 220-2468
Address
9301 N Central Expy Ste 500
Enumeration Date
18 August 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142202468
Graduation Year
2000 (26 years ago)
PAC ID
4880740125
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20090928000777
Address ID
TX752310805DA9301XEXPY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. MARK WILLIAM GLASS

  • 9301 N Central Expy Ste 500

    Dallas, TX 752310805

    Phone: (214) 220-2468

    Fax: (214) 720-1982

    Type: Location

  • 5927 E UNIVERSITY BLVD APT 221

    DALLAS, TX 752069114

    Phone: (214) 926-7117

    Type: Mailing

  • Dallas Parkway, Addison, Dallas County, Texas, 75001:75287, United States

    ADDISON, TX 750017108

    Phone: (214) 370-3535

    Fax: (214) 370-0004

    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: 2009-09-28

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
I20090928000777IPhysician AssistantTXTBD

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
72110X-ray of lower and sacral spine, minimum of 4 views128127$0
99213Established patient office or other outpatient visit, 20-29 minutes122107$0
99214Established patient office or other outpatient visit, 30-39 minutes6463$0
72050X-ray of upper spine, 4-5 views4242$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 75231)

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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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX

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Frequently asked questions

Can I verify MR. MARK WILLIAM GLASS with an NPI only?
You can start verification with NPI 1013021161 for MR. MARK WILLIAM GLASS, then check state licensing separately.
Does CMS list MR. MARK WILLIAM GLASS as active?
Yes — MR. MARK WILLIAM GLASS is active in the NPI listing used on this page.
What is MR. MARK WILLIAM GLASS's primary classification?
Surgical Physician Assistant is the headline specialty for MR. MARK WILLIAM GLASS here. Clinical services aligned with this taxonomy classification.
What area does MR. MARK WILLIAM GLASS serve?
MR. MARK WILLIAM GLASS's listing highlights Dallas, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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