BRANDON JOHN GLENN (PA-C) – Physician Assistant, NPI 1417430679
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRANDON JOHN GLENN (PA-C)
1309 Oak Hollow Dr
Dickinson, TX 775393311
Phone: (936) 334-4894
Type: Location
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
CHRISTUS Spohn Hospital Corpus Christi - Shoreline, 600, Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States
CORPUS CHRISTI, TX 784042235
Phone: (361) 881-3000
Fax: (361) 881-3149
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($212).
Total Amount
$242
General + Research + Ownership
Payments
4
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $212 |
| Haemonetics Corporation | $16 |
| Kerecis Limited | $13 |
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: 2019-01-30
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 |
|---|---|---|---|---|
| I20190130000951 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 80 | 60 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 28 | 28 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 77539)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | NV | |
| - | IA | |
| Critical Care (Intensivists), Emergency Medicine | FL | |
| - | NV | |
| - | TX | |
| - | OH |
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