NPIMap

Individual provider Active NPI

Matthew David Glynn, MD

  • Otolaryngology Physician
  • Topeka, KS
National Provider Identifier
1417971102
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0429018 Issued in KS
Practice address
920 SW Lane St
Suite 200
Topeka, KS 66606-1543
Phone
(785) 233-0500
Fax
(785) 233-0660
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0429018 KS Primary

Addresses

Primary practice location

920 SW Lane St
Suite 200
Topeka, KS 66606-1543

Mailing address

920 SW Lane St
Suite 200
Topeka, KS 66606-1543
Phone (785) 233-0500

Other identifiers 2

IdentifierTypeStateIssuer
102449OtherKSBLUE CROSS BLUE SHIELD
100391250BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000487 KS Practitioner - Otolaryngology 3678527264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians
Topeka Ear, Nose and Throat, P.a.Group PAC ID 0143274027, 20 clinicians

Practice addresses (Care Compare)

2214 Canterbury Dr
Suite 304
Hays, KS 67601-2375
Phone (785) 650-2880

920 SW Lane St
Suite 200
Topeka, KS 66606-2550
Phone (785) 233-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
94.05
Improvement activities
40
Cost
73.7

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision124
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0429018KSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Mar 26, 2018 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. CurrentSince Mar 26, 2018 Accepting new patients
Topeka Ear, Nose and Throat, P.a. Otolaryngology CurrentSince Jan 1, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Topeka Ear, Nose, and Throat,PA Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients
Marion Physician Billing LLC Past Accepting new patients

Locations

1301 W 12th Ave
Ste 106
Emporia, KS 66801
Phone (620) 340-0168

2214 Canterbury Dr
Ste 304
Hays, KS 67601
Phone (785) 623-6544

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

920 SW Lane St
Ste 200
Topeka, KS 66606
Phone (785) 233-0500

631 SW Horne St
Ste 150
Topeka, KS 66606
Phone (785) 233-0500

Interoperability endpoints

  • Direct secure messaging: mglynnm191327@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1417971102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061543",
            "telephone_number": "785-233-0500",
            "fax_number": "785-233-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW LANE ST",
            "address_2": "SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061543",
            "telephone_number": "785-233-0500",
            "fax_number": "785-233-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "0429018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "102449",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100391250B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.