DR. GLEN JEFFREY POFFENBARGER (MD) – Neurological Surgery Physician, NPI 1669469227
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6 NEUROSURGERY in WY
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Provider Addresses for DR. GLEN JEFFREY POFFENBARGER (MD)
Big Horn Avenue, Cody, Park County, Wyoming, United States
CODY, WY 824149208
Phone: (307) 578-1955
Fax: (307) 578-1996
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 10 Open Payments records for all available years, with a total value of $5,861.
Total Amount is formed as General ($5,861) + Research ($0) + Ownership ($0) = $5,861.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intelivation Technologies, LLC ($5,500).
Total Amount
$5,861
General + Research + Ownership
Payments
10
Total payment records
General Amount
$5,861
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intelivation Technologies, LLC | $5,500 |
| Medtronic, Inc. | $361 |
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: 2014-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141113000643 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 255 | 200 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 244 | 172 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 241 | 167 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 191 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 221 | 221 | $0 |
Insurance plans in this area (ZIP 82414)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN |
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