SCOTT D. GLAZER, M.D., S.C. – Procedural Dermatology Physician, NPI 1215151857

SCOTT D. GLAZER, M.D., S.C. is a healthcare provider. based in Buffalo grove, Illinois. specializing in Procedural Dermatology Physician. The organization holds a License No. 036059380 (IL). The NPI Number for SCOTT D. GLAZER, M.D., S.C. is 1215151857

Main info

Organization
Name
SCOTT D. GLAZER, M.D., S.C.
NPI
1215151857
Phone
(847) 459-6611
Address
600 W LAKE COOK RD STE 110
Authorized Official
MRS. JILL A SUTHERLAND PRACTICE MANAGER CPC-D
Enumeration Date
13 April 2007
Last Update Date
20 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:19State licenses:6Digital endpointsOther names

Provider Addresses for SCOTT D. GLAZER, M.D., S.C.

  • 600 W LAKE COOK RD STE 110

    BUFFALO GROVE, IL 600892085

    Phone: (847) 459-6611

    Fax: (847) 459-7929

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (679 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20051020000578OClinic/Group PracticeIL2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 60089)

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Reviews

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Frequently asked questions

How do payers reference SCOTT D. GLAZER, M.D., S.C.?
For SCOTT D. GLAZER, M.D., S.C., use NPI 1215151857 as the unique 10-digit identifier.
Is SCOTT D. GLAZER, M.D., S.C. shown as active in public data?
Registry records indicate SCOTT D. GLAZER, M.D., S.C. maintains an active NPI.
What expertise is attributed to SCOTT D. GLAZER, M.D., S.C.?
SCOTT D. GLAZER, M.D., S.C.'s specialty line reads Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is SCOTT D. GLAZER, M.D., S.C. registered?
Use Buffalo Grove, Illinois as the headline location for SCOTT D. GLAZER, M.D., S.C. here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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DR. BETH ANN ADAMS (M.D.)

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ALEX GLAZER (M.D.)

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