GLENN EDWARD II BURNETT (MD) – Internal Medicine Physician, NPI 1467400747
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
169 INTERNAL MEDICINE in WY
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Provider Addresses for GLENN EDWARD II BURNETT (MD)
428, Works Road, Jackson, Waldo County, Maine, United States
JACKSON, WY 830010428
Phone: (307) 733-2722
Fax: (307) 733-9720
Type: Mailing
201, East Broadway Avenue, Jackson, Teton County, Wyoming, 83001, United States
JACKSON, WY 830018640
Phone: (307) 733-7222
Fax: (307) 733-9720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-01-19 • Largest payer in this snapshot: FUJIFILM Healthcare Americas Corporation ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FUJIFILM Healthcare Americas Corporation | $24 |
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: 2018-08-16
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 |
|---|---|---|---|---|
| I20180816001505 | I | Internal Medicine | WY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 767 | 398 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 393 | 320 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 379 | 284 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 268 | 168 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 255 | 255 | $0 |
Insurance plans in this area (ZIP 83001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WY | |
| - | WY | |
| - | WY | |
| Physician Assistant | WY | |
| - | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY | |
| General Surgery | WY | |
| Physician Assistant | UT | |
| General Surgery | ID | |
| Qualified Audiologist | WY |
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