Jeffrey C. Glenn, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS8018 Issued in FL

Practice address

146 SW Orthopedic CT
Lake City, FL 32024-0672

Phone

(386) 755-9215

Fax

(386) 755-6469

NPI assigned

Nov 19, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Ohio University, College of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jglenn@ocp.emadirect.md

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.

• The Orthopaedic Institute PA

  • Orthopaedic Surgery Physician
  • Gainesville, FL
  • NPI 1740373547
  Medicare reassignment Care Compare group NPD
• The Orthopaedic Institute, PA

  • Orthopaedic Surgery Physician
  • Jupiter, FL
  • NPI 1992569198
  NPD
• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD (past)
• Pasco Hernando Hma Physician Management, LLC

  • Obstetrics & Gynecology Physician
  • Dade City, FL
  • NPI 1003848359
  NPD (past)
• Point of Care Clinic Central LLC

  • Multi-Specialty Clinic/Center
  • Zephyrhills, FL
  • NPI 1528014131
  NPD (past)
• Maumee Urgent Medical Care Center

  • Internal Medicine Physician
  • Maumee, OH
  • NPI 1487690368
  NPD (past)
• Northwest Ohio Urgent Care Inc

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1710183520
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

• Notami Hospitals of Florida Inc

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1760464168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000",
            "fax_number": "352-332-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SW ORTHOPEDIC CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240672",
            "telephone_number": "386-755-9215",
            "fax_number": "386-755-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS8018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114984483",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giebeig Family Medicine PA
• Peter W Giebeig Jr., M.D.
• Ashley Gissendanner
• Kimberly Diane Givens, ARNP
• Beth L Glass, RN
• Emaline Glover
• Liana Brooke Godbold, PTA
• James Nicholas Goff II, HAS
• Golden Manor Assisted Living Facility LLC
• Alex L Gonzales, MD

• Orthopaedic Surgery Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.