DR. GLENN MAAS (M.D.) – Family Medicine Physician, NPI 1417393646

DR. GLENN MAAS (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. BP10045760 (TX). The NPI Number for DR. GLENN MAAS (M.D.) is 1417393646

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN MAAS (M.D.)
NPI
1417393646
Phone
Not provided
Address
1500 S MAIN ST
Enumeration Date
14 May 2013
Last Update Date
14 May 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
9708102424
Graduation Year
2013 (13 years ago)
PAC ID
1355649781
Group Practice PAC ID
0941282271
Professional Enrollment ID
I20230526000523
Address ID
CO806346070GR1600XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. GLENN MAAS (M.D.)

  • 1500 S MAIN ST

    FORT WORTH, TX 761044917

    Phone:

    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)

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: 2023-05-26

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
I20230526000523IFamily PracticeCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2912$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 0941282271View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Family PracticeTX
-CO
Family PracticeCO
Mental Health CounselorCO
Family PracticeCO
Nurse PractitionerCO
Nurse PractitionerCO
Family PracticeCO

Reviews

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Frequently asked questions

How do payers reference DR. GLENN MAAS (M.D.)?
For DR. GLENN MAAS (M.D.), use NPI 1417393646 as the unique 10-digit identifier.
Is DR. GLENN MAAS (M.D.) still an active registrant?
DR. GLENN MAAS (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. GLENN MAAS (M.D.)?
DR. GLENN MAAS (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. GLENN MAAS (M.D.) associated with Fort Worth?
Public fields place DR. GLENN MAAS (M.D.) around Fort Worth, Texas. Always confirm the exact site before visiting.
Does DR. GLENN MAAS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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