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Active NPI 1003847179 Individual Practitioner Male Practitioner

Dr. Glenn J. Kietzer , MD

General Practice • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Kietzer, MD is a registered healthcare professional specializing in General Practice in Tacoma, WA. Practice services are available at 15005 PACIFIC AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, 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

15005 Pacific Ave
Spanaway General Medical

Tacoma, WA 98444

Telephone 2535373724
Fax 2535376425
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
170 Specialists

Practicing in Tacoma, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
119 103 $248.95 $71.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 50 $300.00 $104.10
36415 Insertion of needle into vein for collection of blood sample
51 44 $34.00 $2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $250.00 $106.22
81003 Automated urinalysis test
18 17 $44.72 $2.58
71046 X-ray of chest, 2 views
16 16 $156.00 $29.96
93000 Routine ekg using at least 12 leads including interpretation and report
15 14 $160.00 $16.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $400.00 $161.69
85018 Blood count, hemoglobin
11 11 $20.00 $2.87
85014 Red blood cell concentration measurement
11 11 $20.00 $2.87
85048 Automated white blood cell count
11 11 $40.00 $3.07

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD00009584

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1195601 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. John Maiorca , MD

General Practice

NPI 1174555239

Doctor of Medicine (M.D.)

NPI 1376575431

Doctor of Medicine (M.D.)

Dr. Romeo Puzon , MD

General Practice

NPI 1538190608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2014

Registered at 15005 PACIFIC AVE, SPANAWAY GENERAL MEDICAL, TACOMA, WA 98444 (Tel: 2535373724)

📍
Updated Business Mailing Address May 07, 2014

Registered at 15005 PACIFIC AVE, SPANAWAY GENERAL MEDICAL, TACOMA, WA 98444 (Tel: 2535373724)

👤
Provider Name / Credentials Updated May 07, 2014

Recorded as GLENN KIETZER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2014

General Practice (License #MD00009584 in WA)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1003847179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: May 07, 2014
Sole Proprietor: No

Mailing Address

15005 Pacific Ave, Spanaway General Medical

Tacoma, WA 98444

Phone: 2535373724

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.