DR. GLYNN JOHN PICKENS (MD) – Urology Physician, NPI 1720023070

DR. GLYNN JOHN PICKENS (MD) is a healthcare provider. based in Dallas, Texas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. J0199 (TX). The NPI Number for DR. GLYNN JOHN PICKENS (MD) is 1720023070

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLYNN JOHN PICKENS (MD)
NPI
1720023070
Phone
(214) 692-8262
Address
3600 GASTON AVE
Enumeration Date
19 June 2006
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9724946764
Graduation Year
1990 (36 years ago)
PAC ID
1557306487
Group Practice PAC ID
5496736415
Professional Enrollment ID
I20060118000532
Address ID
TX750445601GA6460XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

861 UROLOGY in TX

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Provider Addresses for DR. GLYNN JOHN PICKENS (MD)

  • 3600, Gaston Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States

    SUITE 1205

    DALLAS, TX 752461800

    Phone: (214) 692-8262

    Fax: (214) 696-4190

    Type: Mailing

  • Rockwall Parkway, Rockwall, Rockwall County, Texas, 75032, United States

    SUITE 110

    ROCKWALL, TX 750326872

    Phone: (972) 276-6191

    Fax: (972) 454-6893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $962.

Total Amount is formed as General ($962) + Research ($0) + Ownership ($0) = $962.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($132).

Total Amount

$962

General + Research + Ownership

Payments

48

Total payment records

General Amount

$962

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2006-01-18

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
I20060118000532IUrologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes665523$0
81003Automated urinalysis test661470$0
99214Established patient office or other outpatient visit, 30-39 minutes652409$0
36415Insertion of needle into vein for collection of blood sample459325$0
84153Psa (prostate specific antigen) measurement, total356268$0
View full utilization report →

Insurance plans in this area (ZIP 75246)

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Provider's Procedures

DR. GLYNN JOHN PICKENS (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTX55700Biopsy of prostate gland2929
UROLOGYTX76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2929

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: 5496736415View full group profile

Reviews

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Frequently asked questions

How is DR. GLYNN JOHN PICKENS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. GLYNN JOHN PICKENS (MD) with NPI 1720023070.
Does the file indicate DR. GLYNN JOHN PICKENS (MD) is practicing under active NPI?
Directory data currently reports DR. GLYNN JOHN PICKENS (MD) as active.
What taxonomy line describes DR. GLYNN JOHN PICKENS (MD)?
For research purposes, treat DR. GLYNN JOHN PICKENS (MD) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GLYNN JOHN PICKENS (MD)?
DR. GLYNN JOHN PICKENS (MD)'s geographic hint is Dallas, Texas in our summary view.
Why does DR. GLYNN JOHN PICKENS (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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