GLEN EDGAR TOMKINS (MD) – Internal Medicine Physician, NPI 1366722126

GLEN EDGAR TOMKINS (MD) is a healthcare provider. based in Herndon, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101242226 (VA). The NPI Number for GLEN EDGAR TOMKINS (MD) is 1366722126

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
GLEN EDGAR TOMKINS (MD)
NPI
1366722126
Phone
(703) 481-8160
Address
1141 ELDEN ST
Enumeration Date
25 August 2011
Last Update Date
24 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7034432000
Graduation Year
1989 (37 years ago)
PAC ID
8224265400
Group Practice PAC ID
5193822930
Professional Enrollment ID
I20131213001055
Address ID
VA201764420LE163XXNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

Provider Addresses for GLEN EDGAR TOMKINS (MD)

  • 1141 ELDEN ST

    SUITE 300

    HERNDON, VA 201705549

    Phone: (703) 481-8160

    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 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Coala Life Inc ($36).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2013-12-13

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
I20131213001055IInternal MedicineVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20170)

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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: 5193822930View full group profile
NameSpecialtyState
Physician AssistantVA
Family PracticeVA
-CA
Diagnostic RadiologySC
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YMD
Nurse PractitionerVA
Family PracticeVA
-VA
-VA

Reviews

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Frequently asked questions

Is GLEN EDGAR TOMKINS (MD) listed with a National Provider Identifier?
Yes — GLEN EDGAR TOMKINS (MD) has NPI 1366722126 on file in the registry.
Would GLEN EDGAR TOMKINS (MD) appear as active to a payer?
You can treat GLEN EDGAR TOMKINS (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe GLEN EDGAR TOMKINS (MD)'s focus?
For GLEN EDGAR TOMKINS (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GLEN EDGAR TOMKINS (MD) located near Herndon?
GLEN EDGAR TOMKINS (MD) currently maps to Herndon, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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