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Deactivated NPI 1962442350 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Michael Ihde , MD

Surgery • San Angelo, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Ihde has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Ihde, MD was a registered Surgery practicing in San Angelo, TX. Throughout an active medical career spanning 17 years, Dr. Ihde provided care at the practice location at 3555 KNICKERBOCKER RD until profile deactivation on 2023-05-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3555 Knickerbocker Rd

San Angelo, TX 769047610

Telephone 3259499555
Fax 3252245024
Associated Practice Facility / Clinic
🏢 West Texas Medical Associates Facility NPI 1457339525

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
12 Specialists

Practicing in San Angelo, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
63 55 $177.31 $85.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $218.08 $103.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
41 36 $110.10 $51.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
22 16 $137.92 $66.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
18 18 $769.22 $103.88
99202 New patient office or other outpatient visit, typically 20 minutes
18 18 $142.04 $68.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 15 $243.38 $122.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
15 15 $682.42 $170.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
12 11 $986.76 $125.89
99221 Initial hospital inpatient care per day, typically 30 minutes
11 11 $192.43 $93.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX K6010

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

29 Associated Practitioners
NPI 1053339713

Doctor of Podiatric Medicine

NPI 1073990313

Doctor of Medicine (M.D.)

NPI 1083701890

Doctor of Audiology

Melissa Mcarthur

Audiologist

NPI 1134463300
Kayla Gibbs , FNP-BC

Nurse Practitioner - Family

NPI 1134472509

Family Nurse Practitioner (Board Certified)

NPI 1154388767

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 07, 2015

Registered at 3555 KNICKERBOCKER RD, SAN ANGELO, TX 769047610 (Tel: 3259499555)

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Updated Business Mailing Address October 07, 2015

Registered at 3555 KNICKERBOCKER RD, SAN ANGELO, TX 769047610 (Tel: 3259499555)

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Provider Name / Credentials Updated October 07, 2015

Recorded as GLENN IHDE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Surgery (License #K6010 in TX)

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Initial NPI Registration & Enumeration June 07, 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: 1962442350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: October 07, 2015
Deactivation Date: May 17, 2023

Mailing Address

3555 Knickerbocker Rd

San Angelo, TX 769047610

Phone: 3259499555

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.