MR. MARK WILLIAM GLASS NPI 1013021161

NPI Information

  • NPI: 1013021161
  • Provider Name: MR. MARK WILLIAM GLASS
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17051 DALLAS PKWY STE 400
    ADDISON, TX
    ZIP 75001
  • Phone: (214) 370-3535

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NPI Details

MR. Mark William Glass is a surgical physician assistant in Addison, TX with 25 years of experience. MR. Mark William Glass NPI is 1013021161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17051 DALLAS PKWY STE 400
ADDISON, TX
ZIP 75001-108
Phone: (214) 370-3535
Fax: (214) 370-0004

The NPI 1013021161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 8/18/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA02857TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209276607MEDICAIDTEXAS
2806N48OTHERTEXASBLUE CROSS/BLUE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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