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Active NPI 1053421800 Individual Practitioner Male Practitioner

Dr. Glenn Acord Deyo , MD

Surgery • University Place, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Deyo, MD is a certified Surgery practicing in University Place, WA. With approximately 44 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1982, Dr. Deyo delivers high-quality medical care to the local community at 4521 82ND AVENUE CT W.

Dr. Deyo is affiliated with Penobscot Valley Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4521 82nd Avenue Ct W

University Place, WA 984662325

Telephone 2533128336
Fax 2534751185

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in University Place, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs Matches City Avg
City Avg: 44.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
1 Specialists

Practicing in University Place, WA (818 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

Clinical Seniority & Experience Comparison

Dr. Deyo (44 Years) 44 Yrs
University Place Specialty Average (44.0 Years) 44.0 Yrs

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00026258

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7030539 (WA)
Medicaid State Provider ID
1054279 (WA)
Commercial Insurance / Payer ID Regence Blue Shield
DE2889 (WA)
Commercial Insurance / Payer ID L & I
0054140 (WA)

Hospital & Practice Group Affiliations

Penobscot Valley Hospital

7 Transalpine Rd, Lincoln, ME 044574222

Phone: 2077943321

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2011

Registered at 4521 82ND AVENUE CT W, UNIVERSITY PLACE, WA 984662325 (Tel: 2533128336)

📍
Updated Business Mailing Address August 05, 2011

Registered at 4521 82ND AVENUE CT W, UNIVERSITY PLACE, WA 984662325 (Tel: 2533128336)

👤
Provider Name / Credentials Updated August 05, 2011

Recorded as GLENN DEYO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2011

Surgery (License #MD00026258 in WA)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1053421800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: August 05, 2011
Sole Proprietor: Yes

Mailing Address

4521 82nd Avenue Ct W

University Place, WA 984662325

Phone: 2533128336

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.