Active NPI 1013021161 Individual Practitioner Male Practitioner

Mark William Glass

Physician Assistant - Surgical • Addison, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Glass is a certified Physician Assistant - Surgical practicing in Addison, TX. With approximately 26 years of clinical experience since completing medical education in 2000, Mark Glass delivers high-quality medical care to the local community at 17051 DALLAS PKWY STE 400.

Mark Glass is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17051 Dallas Pkwy Ste 400

Addison, TX 750017108

Telephone 2143703535

Fax 2143700004

Associated Practice Facility / Clinic

🏢 Cameron N. Carmody, M.d., P.a. Facility NPI 1013102524

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Addison, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +7.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Addison, TX (1367 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glass (26 Years) 26 Yrs

Addison Specialty Average (18.8 Years) 18.8 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
72110 X-ray of lower and sacral spine, minimum of 4 views	198	183	$150.00	$30.97
99213 Established patient office or other outpatient visit, typically 15 minutes	183	151	$233.00	$75.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	70	$338.00	$106.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$334.00	$93.54
72050 X-ray of upper spine, 4 or 5 views	49	49	$157.00	$32.43
72100 X-ray of lower and sacral spine, 2-3 views	30	19	$118.00	$27.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$510.00	$140.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	128	127	$150.00	$29.02
99213 Established patient office or other outpatient visit, typically 15 minutes	122	107	$233.00	$76.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$338.00	$108.26
72050 X-ray of upper spine, 4 or 5 views	42	42	$157.00	$31.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$334.00	$95.01
72100 X-ray of lower and sacral spine, 2-3 views	24	22	$118.00	$21.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$510.00	$140.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	104	104	$150.00	$45.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$338.00	$109.89
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$233.00	$76.98
72050 X-ray of upper spine, 4 or 5 views	39	39	$157.00	$47.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$510.00	$142.46
72100 X-ray of lower and sacral spine, 2-3 views	24	17	$118.00	$34.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$334.00	$95.53

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	34	34	$338.41	$112.25
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$150.00	$44.73
72050 X-ray of upper spine, 4 or 5 views	16	16	$157.94	$46.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$510.00	$144.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	49	49	$150.27	$42.14
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$223.53	$64.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$329.94	$94.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$329.73	$93.09
72050 X-ray of upper spine, 4 or 5 views	17	17	$139.32	$44.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	67	66	$150.27	$43.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$329.73	$89.12
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$223.53	$61.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$329.94	$92.92
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	23	$2839.33	$253.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	21	$378.47	$35.42
72050 X-ray of upper spine, 4 or 5 views	20	20	$139.32	$41.12
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$1688.61	$109.00
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$107.85	$29.27
63267 Removal of growth of lower spine bone outside spine membrane	13	12	$2091.35	$165.56
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$1550.20	$124.77
22849 Reinsertion of spinal fixation device	11	11	$1992.78	$97.21
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$1166.70	$104.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	33	33	$159.33	$38.73
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$171.92	$60.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$3355.72	$108.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	21	$548.97	$34.33
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$3063.21	$252.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	13	$884.17	$28.89
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$2198.66	$125.78
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$1722.09	$103.95
72050 X-ray of upper spine, 4 or 5 views	16	16	$147.03	$33.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$329.73	$82.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$274.09	$88.68
63267 Removal of growth of lower spine bone outside spine membrane	13	13	$2505.83	$129.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22612 Fusion of spine in lower back	11	11	$7500.00	$196.42

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License TX PA02857

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

209276607 (TX)

Commercial Insurance / Payer ID Blue Cross/blue Pin

806N48 (TX)

Hospital & Practice Group Affiliations

Ortholonestar Pllc

9301 N Central Expy, Dallas, TX 752310832

Phone: 2142202468

Ortholonestar Pllc

3800 Gaylord Pkwy, Frisco, TX 750349635

Phone: 2142202468

Ortholonestar Pllc

9301 N Central Expy, Dallas, TX 752310805

Phone: 2142202468

Secondary Practice Locations

9301 N Central Expy Ste 500

Dallas, TX 752310805

Phone: 2142202468

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Chun Lin , MD

Physical Medicine & Rehabilitation

NPI 1083664528

Doctor of Medicine (M.D.)

Melissa Johnston , PA-C

Physician Assistant

NPI 1245863554

Physician Assistant (Certified)

Linda Jackson , PA-C

Physician Assistant - Surgical

NPI 1407864119

Physician Assistant (Certified)

Dr. Heidi Lee , MD

Anesthesiology - Pain Medicine

NPI 1437577384

Doctor of Medicine (M.D.)

Mary Ostteen

Physician Assistant - Surgical

NPI 1659777142

Anna Beard

Physician Assistant

NPI 1689457293

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2015

Registered at 17051 DALLAS PKWY STE 400, ADDISON, TX 750017108 (Tel: 2143703535)

📍

Updated Business Mailing Address March 04, 2015

Registered at 5927 E UNIVERSITY BLVD APT 221, DALLAS, TX 752069114 (Tel: 2149267117)

👤

Provider Name / Credentials Updated March 04, 2015

Recorded as MARK GLASS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2015

Physician Assistant (License #PA02857 in TX)

🟢

Initial NPI Registration & Enumeration August 18, 2006

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: 1013021161

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 18, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5927 E University Blvd Apt 221

Dallas, TX 752069114

Phone: 2149267117

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.