CARMON L III GLOVER (DO) – Emergency Medicine Physician, NPI 1497701510

CARMON L III GLOVER (DO) is a healthcare provider. based in Fort worth, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 036098224 (IL). The NPI Number for CARMON L III GLOVER (DO) is 1497701510

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
CARMON L III GLOVER (DO)
NPI
1497701510
Phone
(817) 451-4208
Address
PO BOX 8882
Enumeration Date
26 May 2006
Last Update Date
25 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184432177
Graduation Year
1996 (30 years ago)
PAC ID
8820983034
Group Practice PAC ID
0345481255
Professional Enrollment ID
I20040217000773
Address ID
IL622861820SP818XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for CARMON L III GLOVER (DO)

  • Fort Worth Jack D. Watson Post Office, 4600, Mark IV Parkway, Fort Worth, Tarrant County, Texas, 76161, United States

    FORT WORTH, TX 761240882

    Phone: (817) 451-4208

    Type: Mailing

  • 211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622201915

    Phone: (618) 234-2120

    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: 2022-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040217000773IEmergency MedicineILTBD
I20220711002877IEmergency MedicineNETBD

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
99285Emergency department visit with high level of medical decision making9494$0
99284Emergency department visit with moderate level of medical decision making5656$0
99291Critical care, first 30-74 minutes2020$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 76124)

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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: 0345481255View full group profile
NameSpecialtyState
Emergency MedicineTX
Internal Medicine, Emergency MedicineMS
Emergency MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
-MO
General PracticeCO
Emergency MedicineMO
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify CARMON L III GLOVER (DO) with an NPI only?
You can start verification with NPI 1497701510 for CARMON L III GLOVER (DO), then check state licensing separately.
Does the file indicate CARMON L III GLOVER (DO) is practicing under active NPI?
Directory data currently reports CARMON L III GLOVER (DO) as active.
What is CARMON L III GLOVER (DO)'s specialty?
The listing groups CARMON L III GLOVER (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does CARMON L III GLOVER (DO) serve?
CARMON L III GLOVER (DO)'s listing highlights Fort Worth, 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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