Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891972568 Individual Practitioner Female Practitioner

Kim Glenn , PA

Physician Assistant • Springfield, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kim Glenn, PA is a certified Physician Assistant practicing in Springfield, OR. With approximately 19 years of clinical experience since completing medical education in 2007, Kim Glenn delivers high-quality medical care to the local community at 1435 G ST.

Kim Glenn maintains professional affiliations with Icco Llc, G Street Integrated Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1435 G St

Springfield, OR 974774113

Telephone 5417359420
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
100 Specialists

Practicing in Springfield, OR (2106 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glenn (19 Years) 19 Yrs
Springfield Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
100 93 $374.13 $105.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
93 93 $485.79 $135.44
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
30 30 $427.00 $136.24
81003 Automated urinalysis test
29 27 $21.00 $2.20
81002 Urinalysis, manual test
17 16 $20.00 $3.41
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $264.39 $74.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $324.99 $91.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
11 11 $41.00 $16.20

Medical Specialties & State Licenses

CMS Verified: 2026-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-714

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Icco Llc

598 E 13th Ave, Eugene, OR 974014783

Phone: 5416363473

Icco Llc

2710 Willamette St, Eugene, OR 974053238

Phone: 5417353161

Icco Llc

355 W 3rd Ave, Junction City, OR 974481313

Phone: 5419986750

G Street Integrated Health

1435 G St, Springfield, OR 974774113

Phone: 5417359420

Icco Llc

5781 Main St, Springfield, OR 974785426

Phone: 5416540282

Icco Llc

1800 Coburg Rd, Eugene, OR 974014995

Phone: 5413458760

Icco Llc

186 W Ellendale Ave, Dallas, OR 973381408

Phone: 5416407625

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1013654698

QMHAI, CHW

Annamarie Pihs

Counselor - Mental Health

NPI 1053821496
Adina Henderson , NP

Nurse Practitioner

NPI 1063150704

Nurse Practitioner

NPI 1073030565
Crystal Bruce , QMHA-R

Counselor - Mental Health

NPI 1073251856

QMHAR

Sarah Cooper , FNP-C

Nurse Practitioner - Family

NPI 1184441438

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 24, 2026

Registered at 1435 G ST, SPRINGFIELD, OR 974774113 (Tel: 5417359420)

📍
Updated Business Mailing Address March 24, 2026

Registered at 1435 G ST, SPRINGFIELD, OR 974774113 (Tel: 5419359420)

NPI Profile Active January 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2008

Registered at 415 6TH ST, LEWISTON, ID 835012431 (Tel: 2087432511)

📍
Updated Business Mailing Address January 24, 2008

Registered at 415 6TH ST, LEWISTON, ID 835012431 (Tel: 2087432511)

👤
Provider Name / Credentials Updated January 24, 2008

Recorded as KIM GLENN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2008

Physician Assistant (License #PA-714 in ID)

🟢
Initial NPI Registration & Enumeration January 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891972568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2008
Last Update: March 24, 2026
Sole Proprietor: No

Mailing Address

1435 G St

Springfield, OR 974774113

Phone: 5419359420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.