Individual provider Active NPI

David A. Glaser, MD

  • Retina Specialist (Ophthalmology) Physician
  • Florissant, MO
National Provider Identifier
1891807137
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
103287 Issued in MO
Practice address
1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028
Phone
(314) 839-1211
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 103287 MO Primary

Addresses

Primary practice location

1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028

Mailing address

10 Chipper Rd
Saint Louis, MO 63131-3410
Phone (314) 997-1311

Other identifiers 2

IdentifierTypeStateIssuer
1891807137OtherMOANTHEM BLUECROSS BLUESHIELD
206656506MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20111216000729 MO Practitioner - Ophthalmology 9931135753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of St Louis, IncGroup PAC ID 3577522101, 4 clinicians

Practice addresses (Care Compare)

1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028
Phone (314) 839-1211

12990 Manchester Rd
Suite 104
Des Peres, MO 63131-1860
Phone (314) 872-8884

5700 Mexico Rd
Suite 4
Saint Peters, MO 63376-1667
Phone (636) 926-3700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of St Louis, Inc Retina Specialist CurrentSince Apr 1, 1999 Accepting new patients
Eye MDS of Quincy SC Past Accepting new patients
Cataract & Eye Disease Specialists, Inc Past Accepting new patients
Cataract & Eye Disease Specialists, Inc Past Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients
Retina Contracting Inc Past Accepting new patients

Locations

1224 Graham Rd
Ste 3011
Florissant, MO 63031
Phone (314) 839-1211

12990 Manchester Rd
Ste 104
Saint Louis, MO 63131
Phone (314) 872-8884

5700 Mexico Rd
Ste 4
Saint Peters, MO 63376
Phone (636) 926-3700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1891807137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHIPPER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313410",
            "telephone_number": "314-997-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 3011",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "103287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS BLUESHIELD",
            "identifier": "1891807137",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206656506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.