GLENN D PABODY (PA) – Physician Assistant, NPI 1053414938
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GLENN D PABODY (PA)
2815 S HAMPTON RD
DALLAS, TX 752242329
Phone: (214) 330-0137
Fax: (214) 333-7343
Type: Location
1908, Dunlin Court, Hammonds Pointe, Greenville County, South Carolina, 29687, United States
GREENVILLE, TX 754031908
Phone: (903) 454-3025
Fax: (903) 450-1408
Type: Mailing
101, North Houston Street, Kaufman, Kaufman County, Texas, 75142, United States
KAUFMAN, TX 751421950
Phone: (903) 454-3025
Fax: (903) 450-1408
Type: Location
12377 MERIT DR STE 300
DALLAS, TX 752513126
Phone: (972) 957-3000
Fax: (972) 957-3005
Type: Mailing
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: 2009-12-30
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 |
|---|---|---|---|---|
| I20091230000136 | I | Physician Assistant | TX | 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 75224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 82270 | Stool analysis for blood to screen for colon tumors | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Pediatric Medicine | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Family Practice | AL | |
| Physician Assistant | TX |
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