Active NPI
Glenn Skow, M.D., MPH, FAAFP
- Emergency Medicine Physician
- Vandalia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036130323
- Practice address
- 650 W Taylor St
Vandalia, IL 62471-1227 - Phone
- (618) 283-5136
- NPI assigned
- Mar 27, 2009
- Last updated
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036130323 | IL | Primary |
| Family Medicine Physician | 207Q00000X | 258929 | NY | |
| Family Medicine Physician | 207Q00000X | 036130323 | IL |
Addresses
Primary practice location
650 W Taylor St
Vandalia, IL 62471-1227
Mailing address
825 New York Dr Ste 2
Vandalia, IL 62471-1044
Phone (618) 283-5545
Other practice location 1
233 Forest Ct
Edwardsville, IL 62025-5389
Phone (917) 514-8740
Other practice location 2
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258929 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Family Medicine | Current | Accepting new patients |
| Jersey Community Hospital | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Alton-Griffin Emergency Group PC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
800 School St
Carrollton, IL 62016
Phone (217) 942-3600
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400
825 New York Dr
Ste 2
Vandalia, IL 62471
Phone (618) 283-0600
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
- https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fayette County | Hospice | Contracted Managing Employee | Jul 1, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1891104824
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1851849095
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
dba SBL Fayette County Hospital
- Critical Access Hospital
- Vandalia, IL
- NPI 1497868772
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba Thomas H. Boyd Rural Health Clinic
- Rural Health Clinic/Center
- Carrollton, IL
- NPI 1164507604
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1396987053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NEW YORK DR STE 2",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711044",
"telephone_number": "618-283-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W TAYLOR ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711227",
"telephone_number": "618-283-5136"
}
],
"practiceLocations": [
{
"address_1": "233 Forest Ct",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620255389",
"country_code": "US",
"telephone_number": "917-514-8740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Maple Summit Rd",
"address_purpose": "LOCATION",
"city": "Jerseyville",
"state": "IL",
"postal_code": "620522028",
"country_code": "US",
"telephone_number": "618-498-6402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKOW",
"first_name": "GLENN",
"name_prefix": "Dr.",
"credential": "M.D., MPH, FAAFP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036130323",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "258929",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036130323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.