GLENN ROLAND STOCKBRIDGE (DPM) – Podiatrist, NPI 1881704252
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 PODIATRY in TX
Provider Addresses for GLENN ROLAND STOCKBRIDGE (DPM)
3912 TANGLEWOOD LANE
ODESSA, TX 797627165
Phone: (432) 367-9944
Fax: (432) 368-7600
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 2 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Averitas Pharma Inc. ($58).
Total Amount
$83
General + Research + Ownership
Payments
2
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $58 |
| Innovation Technologies Inc | $25 |
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: 2008-11-15
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 |
|---|---|---|---|---|
| I20081115000105 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 884 | 281 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 682 | 206 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 73620 | X-ray of foot, 2 views | 23 | 20 | $0 |
Insurance plans in this area (ZIP 79762)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | TX | 73630 | X-ray of foot, minimum of 3 views | 34 | 29 |
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