Kim Glenn, PA
NPI 1891972568ActiveIndividual· Physician Assistant· Springfield, OR
Physician Assistant (PA) with Icco LLC and 1 other group, practicing in Springfield, Oregon. In 2024 Medicare paid $23,071 for 225 patients, and Part D covered 531 of their prescriptions, 89% of them generic. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $44.16 in all, mostly food and beverage.
Overview
| NPI | 1891972568 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 24, 2008 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-714 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 490 across 52 procedure codes |
| Paid by Medicare | $23,071 |
Part D prescriptions in 2024
| Prescriptions (claims) | 531 · 571 30-day fills |
|---|---|
| Patients | 406 |
| Total drug cost | $17,338 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Icco LLCEugene, OR · 135 clinicians
- G Street Integrated HealthSpringfield, OR · 22 clinicians
Industry payments (Open Payments)
- 2025$44.16 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $24.16 | 1 |
| Hologic Sales and Service, LLC | $20.00 | 1 |
What the 2025 payments were for
- Food and Beverage$44.16 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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