NPIMap

Individual provider Active NPI

Glen Hybarger, M.D.

  • Internal Medicine Physician
  • Riverton, WY
National Provider Identifier
1720249899
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10031170 Issued in TX
Practice address
2100 W Sunset Dr
Riverton, WY 82501-2274
Phone
(307) 856-4161
NPI assigned
Jun 21, 2008
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10031170 TX Primary

Addresses

Primary practice location

2100 W Sunset Dr
Riverton, WY 82501-2274

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Other identifiers 1

IdentifierTypeStateIssuer
1205875614MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC, MI, PA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120109000819 TX Practitioner - Internal Medicine 3678749975 Reassigns benefits to 2 organizations
I20140407000071 SC Practitioner - Internal MedicinePractitioner - Emergency Medicine 3678749975 Reassigns benefits to 3 organizations
I20220315001122 MI Practitioner - Hospitalist 3678749975 Reassigns benefits to 2 organizations
I20260423002329 PA Practitioner - Internal Medicine 3678749975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10031170TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Mar 8, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Feb 17, 2018 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 1, 2026 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Dec 15, 2018 Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Mar 8, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Feb 17, 2018 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Sep 20, 2024 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Dec 20, 2018 Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Past Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Past Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: ghybarger122490@mymichiganhealth.midirect.net
  • Direct secure messaging: ghybarger32281@directmcleodehealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 11

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1720249899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W SUNSET DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012274",
            "telephone_number": "307-856-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYBARGER",
        "first_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10031170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205875614",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.