Glen Stanley Roseborough, MD
NPI 1518903186ActiveIndividual· Surgery, Vascular Surgery· Salem, OR
Surgery, Vascular Surgery (MD) with Poudre Valley Medical Group LLC, practicing in Salem, Oregon. Mostly services rather than prescriptions: Medicare paid $33,416 for 113 patients in 2024, with only 18 Part D claims. Inari Medical, Inc. reported $595.59 in payments in 2024, mostly food and beverage. Lists Parkview Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1518903186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 21, 2006 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | MD150190 | OR |
| Surgery | 208600000X | MD150190 | OR |
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 - Vascular Surgery (CO); Practitioner - Vascular Surgery (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 284 across 77 procedure codes |
| Paid by Medicare | $33,416 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 32 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $729.76 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Vascular Surgery |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliation
- Parkview Medical Center, IncPueblo, CO
Industry payments (Open Payments)
- 2024$595.59 · 10 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Inari Medical, Inc. | $595.59 | 10 |
What the 2024 payments were for
- Food and Beverage$595.59 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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