Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366019085 Individual Practitioner Male Practitioner

Glenn Michael Riccio , PA-C

Physician Assistant • Clear Brook, VA

Professional Overview & Biography Verified Profile Summary

Glenn Riccio, PA-C is a registered healthcare professional specializing in Physician Assistant in Clear Brook, VA. Practice services are available at 365 TYLER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

365 Tyler Dr

Clear Brook, VA 226241662

Telephone 4343262164

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clear Brook, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Clear Brook, VA (4432 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110007920

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2021

Registered at 365 TYLER DR, CLEAR BROOK, VA 226241662 (Tel: 4343262164)

📍
Updated Business Mailing Address June 10, 2021

Registered at 365 TYLER DR, CLEAR BROOK, VA 226241662 (Tel: 4343262164)

👤
Provider Name / Credentials Updated June 10, 2021

Recorded as GLENN RICCIO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Physician Assistant (License #0110007920 in VA)

🟢
Initial NPI Registration & Enumeration June 10, 2021

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: 1366019085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2021
Last Update: June 10, 2021
Sole Proprietor: No

Mailing Address

365 Tyler Dr

Clear Brook, VA 226241662

Phone: 4343262164

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.