Glen David Cottrill, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1130 Issued in OK

Practice address

1324 N Harville Rd
Duncan, OK 73533-1514

Phone

(580) 252-1373

Fax

(580) 252-8336

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solutions Practice ManagementGroup PAC ID 5698840775, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glen.cottrill@direct.drhhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solutions Practice Management

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1104009299
  Medicare reassignment Care Compare group NPD
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  NPD
• Duncan Regional Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Duncan, OK
  • NPI 1942918214
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1144301698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DUNCAN REGIONAL LOOP",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331564",
            "telephone_number": "580-252-1373",
            "fax_number": "580-252-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-252-1373",
            "fax_number": "580-252-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRILL",
        "first_name": "GLEN",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comforting Hands Hospice of Southwest Oklahoma LLC
• Shelly Conley, LPTA
• Juan Adrian Cornejo, MD
• Cornerstone Clinical Services, Inc
• Cornerstone Clinical Services, Inc
• Candayce Melea Coulter, NURSE
• Demetra G Cox, M.D.
• Homer L Cox, CRNA
• Jamie William Cox, M.D.
• Shanna Rebecca Jo Cox

• Physician Assistant in Duncan, OK
• Providers in Duncan, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.