DR. GLEN A. PU (M.D.) – Diagnostic Radiology Physician, NPI 1720069834

DR. GLEN A. PU (M.D.) is a healthcare provider. based in Brownwood, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0074111 (CO). The NPI Number for DR. GLEN A. PU (M.D.) is 1720069834

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLEN A. PU (M.D.)
NPI
1720069834
Phone
(803) 381-7497
Address
950 COUNTY ROAD 553
Enumeration Date
7 November 2005
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4122308200
Graduation Year
1988 (38 years ago)
PAC ID
8820992316
Group Practice PAC ID
3779683537
Professional Enrollment ID
I20221213002722
Address ID
OH439202405EA425XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for DR. GLEN A. PU (M.D.)

  • 553, Todd Railroad Grade Road, Riverwalk, Brownwood, Todd, Ashe County, North Carolina, 28684, United States

    BROWNWOOD, TX 768010345

    Phone: (803) 381-7497

    Type: Mailing

  • 800 S 3rd St

    Montrose, CO 814014212

    Phone: (970) 249-2211

    Type: Location

  • 3330 S Rio Grande Ave

    Montrose, CO 814014847

    Phone: (970) 240-7314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20081205000635IDiagnostic RadiologyTXTBD
I20090429000154IDiagnostic RadiologySCTBD
I20200428000446IDiagnostic RadiologyPATBD
I20221213002722IDiagnostic RadiologyOHTBD
I20241001004589IDiagnostic RadiologyCOTBD
I20241003003325IDiagnostic RadiologyKYTBD
I20241022002857IDiagnostic RadiologyNDTBD

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
77063Screening 3d breast mammography248248$0
77067Screening mammography247247$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)2828$0
77066Diagnostic mammography of both breasts1919$0
71046X-ray of chest, 2 views1717$0
View full utilization report →

Insurance plans in this area (ZIP 76801)

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Provider's Procedures

DR. GLEN A. PU (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front1055742
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views8882
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views5652
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast147142
DIAGNOSTIC RADIOLOGYTX93926Ultrasound study of arteries and arterial grafts of one leg or limited1616
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers109102

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: 3779683537View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic RadiologyPA
Diagnostic RadiologyMD
-PA
Diagnostic Radiology, Interventional RadiologyPA
Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyVA
Diagnostic RadiologyNC
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyMD
Diagnostic RadiologyNY

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Frequently asked questions

What unique ID ties claims to DR. GLEN A. PU (M.D.)?
NPI 1720069834 is assigned to DR. GLEN A. PU (M.D.) under the national enumeration system.
Is DR. GLEN A. PU (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. GLEN A. PU (M.D.)?
The page reflects Diagnostic Radiology Physician for DR. GLEN A. PU (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. GLEN A. PU (M.D.)?
We surface Brownwood, Texas for DR. GLEN A. PU (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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