Individual provider Active NPI

Christopher Glock, M.D.

  • Orthopaedic Hand Surgery Physician
  • Amarillo, TX
National Provider Identifier
1962518167
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
R6195 Issued in TX
Practice address
3501 S Soncy Rd Ste 104
Amarillo, TX 79119-6405
Phone
(806) 398-3627
Fax
(806) 351-7801
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R6195 TX
Orthopaedic Hand Surgery Physician 207XS0106X R6195 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 104
Amarillo, TX 79119-6405

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (806) 398-3627

Other practice location 1

301 N 23rd St Ste C
Canyon, TX 79015-3058
Phone (806) 452-5522

Other identifiers 10

IdentifierTypeStateIssuer
000000374076OtherANTHEM
036096337OtherILILLINOIS PUBLIC AID
2477674OtherCIGNA
5518300OtherAETNA ASSIGNED
351904269199OtherCARESOURCE
464996OtherHEALTHLINK
200531820AMedicaidIN
P00268084OtherRAILROAD MCARE PALAMETTO
200531820TMedicaidIN
N304553OtherHARMONY HEALTH PLAN IND

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180314000337 TX Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1759278476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

1600 S Coulter St
F
Amarillo, TX 79106-1710
Phone (806) 398-3627

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC CurrentSince Apr 2, 2018 Accepting new patients
NWTX Physician Network, PLLC Orthopaedic Surgery CurrentSince Apr 2, 2018 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients
Regional Hospital Healthcare Partners LLC PastSince Jan 1, 2010 Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

3501 S Soncy Rd
Ste 104
Amarillo, TX 79119
Phone (806) 398-3627

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1600 S Coulter St
Bldg F
Amarillo, TX 79106
Phone (806) 398-3627

1600 S Coulter St
#F
Amarillo, TX 79106
Phone (806) 398-3627

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

301 N 23rd St
Ste C
Canyon, TX 79015
Phone (806) 351-7150

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.

Hospital & facility affiliations 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1962518167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-398-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-398-3627",
            "fax_number": "806-351-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N 23rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790153058",
            "country_code": "US",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOCK",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R6195",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "R6195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000374076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PUBLIC AID",
            "identifier": "036096337",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2477674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ASSIGNED",
            "identifier": "5518300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "351904269199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "464996",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531820A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "P00268084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531820T",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN IND",
            "identifier": "N304553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.