DANIEL GLADE (MD) – Dermatology Physician, NPI 1821618430
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for DANIEL GLADE (MD)
1055 N 500 W Ste 111
Provo, UT 846043305
Phone: (801) 374-8999
Fax: (801) 429-8063
Type: Location
4001 N 3RD ST STE 290
PHOENIX, AZ 850122071
Phone:
Type: Mailing
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
Phone: (602) 812-3130
Type: Location
275 W 200 N
LINDON, UT 840425009
Phone: (801) 796-1333
Fax: (801) 796-0625
Type: Mailing
680 E MAIN ST
LEHI, UT 840432241
Phone: (801) 642-2950
Fax: (801) 642-2951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $2,717.
Total Amount is formed as General ($2,717) + Research ($0) + Ownership ($0) = $2,717.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,160).
Total Amount
$2,717
General + Research + Ownership
Payments
72
Total payment records
General Amount
$2,717
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,160 |
| GENZYME CORPORATION | $274 |
| Lilly USA, LLC | $171 |
| Galderma Laboratories, L.P. | $141 |
| Arcutis Biotherapeutics, Inc. | $139 |
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: 2025-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240515000982 | I | Dermatology | TX | TBD |
| I20250331002329 | I | Dermatology | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| - | TX |
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