Kristopher L. Glanville, O.D.
NPI 1104825017ActiveIndividual· Optometrist· Madison, WI
Optometrist (O.D.) in Madison, Wisconsin, trained at Illinois College of Optometry at Chicago (class of 2002). In 2024 Medicare paid $40,467 for 483 patients, and Part D covered 613 of their prescriptions, 72% of them generic.
Overview
| NPI | 1104825017 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 21, 2005 |
| Last updated in NPPES | Sep 4, 2024 |
| Certified by provider | Sep 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2924-035 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 483 |
|---|---|
| Services billed | 5,098 across 20 procedure codes |
| Paid by Medicare | $40,467 |
Part D prescriptions in 2024
| Prescriptions (claims) | 613 · 1,128 30-day fills |
|---|---|
| Patients | 210 |
| Total drug cost | $25,741 |
| Generic share | 72% of claims |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Optometry |
Medical group
- Dean Health Systems IncSun Prairie, WI · 1,159 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 98 optometrists in Madison · All optometrists in Wisconsin