DR. GLEN S GRAVES (MD) – Rheumatology Physician, NPI 1689648040

DR. GLEN S GRAVES (MD) is a healthcare provider. based in Tyler, Texas. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. J2036 (TX). The NPI Number for DR. GLEN S GRAVES (MD) is 1689648040

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLEN S GRAVES (MD)
NPI
1689648040
Phone
(903) 561-9255
Address
5777 NEW COPELAND RD
Enumeration Date
14 February 2006
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9035619255
Graduation Year
1991 (35 years ago)
PAC ID
9032115035
Group Practice PAC ID
5496751497
Professional Enrollment ID
I20061016000232
Address ID
TX757033905TY5777XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

503 RHEUMATOLOGY in TX

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Provider Addresses for DR. GLEN S GRAVES (MD)

  • 5777, New Copeland Road, Tyler, Smith County, Texas, 75703, United States

    SUITE 100

    TYLER, TX 757033905

    Phone: (903) 561-9255

    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)

CMS reports 30 Open Payments records for all available years, with a total value of $751.

Total Amount is formed as General ($751) + Research ($0) + Ownership ($0) = $751.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($323).

Total Amount

$751

General + Research + Ownership

Payments

30

Total payment records

General Amount

$751

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-10-16

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
I20061016000232IRheumatologyTXTBD

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
J3262Injection, tocilizumab, 1 mg10,20011$0
86235Measurement of antibody for assessment of autoimmune disorder, any method5,424623$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)3,67518$0
Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg3,42042$0
83516Analysis of substance using immunoassay technique, multiple step method1,354623$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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Provider's Procedures

DR. GLEN S GRAVES (MD) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYTX96415Infusion of chemotherapy into a vein20336

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: 5496751497View full group profile
NameSpecialtyState
Physician AssistantTX
Rheumatology, Internal MedicineTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for DR. GLEN S GRAVES (MD) in U.S. healthcare records?
The official identifier for DR. GLEN S GRAVES (MD) is NPI 1689648040.
Is DR. GLEN S GRAVES (MD) still an active registrant?
DR. GLEN S GRAVES (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. GLEN S GRAVES (MD)'s focus?
For DR. GLEN S GRAVES (MD), the primary taxonomy reads as Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. GLEN S GRAVES (MD) located near Tyler?
DR. GLEN S GRAVES (MD) currently maps to Tyler, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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