Active NPI
Glynn John Pickens, MD
- Urology Physician
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- J0199
- Practice address
- 890 Rockwall Pkwy
Suite 110
Rockwall, TX 75032-6872 - Phone
- (972) 276-6191
- Fax
- (972) 454-6893
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | J0199 | TX | Primary |
Addresses
Primary practice location
890 Rockwall Pkwy
Suite 110
Rockwall, TX 75032-6872
Mailing address
3600 Gaston Ave
Suite 1205
Dallas, TX 75246-1800
Phone (214) 692-8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045376302 | Medicaid | TX |
Other names 1
- Dr. John Pickens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Urology
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6460 Naaman Forest Blvd
Garland, TX 75044-5601
Phone (972) 494-6764
Hospital & facility affiliations
- Methodist Richardson Medical Center
- Texas Health Presbyterian Hospital Rockwall
- Baylor Scott and White Medical Center Lake Pointe
- Hunt Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.14 of 100
- Quality
- 97.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Clinics of North Texas, PLLC | Urology | Current | Accepting new patients |
| Urology Clinics of North Texas, PLLC | Urology | Current | Accepting new patients |
| Urology Clinics of North Texas, PLLC | Current | Accepting new patients | |
| Urology Clinics of North Texas PLLC | Past | Accepting new patients |
Locations
3600 Gaston Ave
Ste 1205
Dallas, TX 75246
12606 Greenville Ave
Ste 160
Dallas, TX 75243
Phone (469) 364-7880
7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765
9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265
12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706
9900 N Central Expy
Ste 130
Dallas, TX 75231
2241 Peggy Ln
Ste E
Garland, TX 75042
Phone (972) 276-6191
6460 Naaman Forest Blvd
Garland, TX 75044
Phone (817) 481-0111
1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262
1650 Republic Pkwy
Ste 130
Mesquite, TX 75150
6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400
6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808
890 Rockwall Pkwy
Ste 110
Rockwall, TX 75032
Phone (972) 494-6764
Interoperability endpoints
- glynn.pickens.p1@direct.urologyclinics.nextgenshare.com
Organizations & group practices 4
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.
-
- Urology Physician
- Dallas, TX
- NPI 1720031370
-
- Urology Physician
- Plano, TX
- NPI 1114186616
-
- Specialist
- Grapevine, TX
- NPI 1780971549
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1528237260
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1720023070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 1205",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-692-8262",
"fax_number": "214-696-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 ROCKWALL PKWY",
"address_2": "SUITE 110",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326872",
"telephone_number": "972-276-6191",
"fax_number": "972-454-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKENS",
"first_name": "GLYNN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J0199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045376302",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "PICKENS",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.