NPIMap

Individual provider Active NPI

Glenn B Burt III, MD

  • Family Medicine Physician
  • Wausau, WI
National Provider Identifier
1891796553
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27936-020 Issued in WI
Practice address
1901 Westwood Center Blvd
Wausau, WI 54401-2892
Phone
(715) 355-9700
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27936 WI
Family Medicine Physician 207Q00000X 27936-020 WI Primary

Addresses

Primary practice location

1901 Westwood Center Blvd
Wausau, WI 54401-2892

Mailing address

1901 Westwood Center Blvd
Wausau, WI 54401-2892
Phone (715) 355-9700

Other identifiers 1

IdentifierTypeStateIssuer
34225100MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address glenn.burt.iii.1@10114.direct.athenahealth.com
Direct Messaging Address glenn.burt.iii.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050321000436 WI Practitioner - Family Practice 0547215774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

1901 Westwood Ctr Blvd
Wausau, WI 54401-2892
Phone (877) 642-2778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27936WIMDEmergency Medicine Physician
27936-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 20, 2021 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 20, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients
Marshfield Clinic Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

3333 E Main St
Merrill, WI 54452
Phone (715) 536-5463

3430 E Main St
Merrill, WI 54452
Phone (715) 393-3900

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

902 N 3rd St
Wausau, WI 54403
Phone (715) 841-9830

1901 Westwood Center Blvd
Wausau, WI 54401
Phone (715) 355-9424

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: gburt14982@direct.aspirus.org
  • Direct secure messaging: glenn.burt.iii.1@10114.direct.athenahealth.com

Organizations & group practices 11

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1891796553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTWOOD CENTER BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012892",
            "telephone_number": "715-355-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTWOOD CENTER BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012892",
            "telephone_number": "715-355-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "GLENN",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "27936",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "27936-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34225100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glenn.burt.iii.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1901 Westwood Center Blvd",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544012892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glenn.burt.iii.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3430 E Main St",
            "city": "Merrill",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544529001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.