TIMOTHY CHRISTOPHER II GLENNON (PA) – Physician Assistant, NPI 1447286943
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
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Provider Addresses for TIMOTHY CHRISTOPHER II GLENNON (PA)
4140, Centennial Hills Boulevard, Casper, Natrona County, Wyoming, 82609, United States
SUITE A
CASPER, WY 826093265
Phone: (307) 265-7205
Fax: (307) 235-6262
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Celgene Corporation ($27).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Celgene Corporation | $27 |
| Orthofix Medical, Inc. | $16 |
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: 2023-02-08
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 |
|---|---|---|---|---|
| I20121102000031 | I | Physician Assistant | WY | TBD |
| I20230208001979 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 19 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 19 | 12 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 19 | 19 | $0 |
Insurance plans in this area (ZIP 82609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care | NC | |
| - | NC | |
| - | FL | |
| Physician Assistant | NC | |
| - | NY | |
| - | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Neurology, Psychiatry | NC | |
| Pulmonary Disease | NC |
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