DR. GLEN T. PORTER (MD) – Otolaryngology Physician, NPI 1205825973

DR. GLEN T. PORTER (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in OTOLARYNGOLOGY, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. L3434 (TX). The NPI Number for DR. GLEN T. PORTER (MD) is 1205825973

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLEN T. PORTER (MD)
NPI
1205825973
Phone
(801) 492-8900
Address
PO BOX 27128
Enumeration Date
17 October 2005
Last Update Date
11 December 2013

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4356574600
Graduation Year
2000 (26 years ago)
PAC ID
8224127147
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20090406000187
Address ID
UT840323942HE380XX1500301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

123 OTOLARYNGOLOGY in UT

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Provider Addresses for DR. GLEN T. PORTER (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 492-8900

    Type: Mailing

  • North 2000 West, Pleasant Grove, Utah County, Utah, 84042, United States

    SUITE A

    PLEASANT GROVE, UT 840624047

    Phone: (801) 492-8900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,729.

Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,412).

Total Amount

$1,729

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,729

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2009-04-06

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
I20071130000044IOtolaryngologyNVTBD
I20090406000187IOtolaryngologyUTTBD

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
99204New patient office or other outpatient visit, 45-59 minutes8080$0
99213Established patient office or other outpatient visit, 20-29 minutes6349$0
99214Established patient office or other outpatient visit, 30-39 minutes6052$0
31231Diagnostic exam of nasal passages using an endoscope3117$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

How is DR. GLEN T. PORTER (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. GLEN T. PORTER (MD) with NPI 1205825973.
Is DR. GLEN T. PORTER (MD) still practicing?
DR. GLEN T. PORTER (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. GLEN T. PORTER (MD) hold?
Scheduling teams often label DR. GLEN T. PORTER (MD) under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. GLEN T. PORTER (MD) on a map?
Expect Salt Lake City, Utah as a primary anchor for DR. GLEN T. PORTER (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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