Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Glenn Joseph Lysack , PA

Physician Assistant โ€ข Pensacola, FL

Active NPI 1578501094 Individual Practitioner Male Practitioner
Practice location in NPPES

5151 N 9th Ave
Pensacola, FL 325048721

Call 8504167000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5151 N 9th Ave

Pensacola, FL 325048721

Telephone 8504167000
Organization at the Same NPPES Address or Phone
Pensacola Radiology Consultants Pa Facility NPI 1548291628

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $28,931 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $23,004 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

109 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$697 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.06 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pensacola and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Glenn Lysack are from 2023.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Glenn Lysack are from 2023.

252 active clinicians are listed under Physician Assistant with a practice address in Pensacola, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pensacola

9.5% of these 252 clinicians have the CMS telehealth indicator.

55.6% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2022

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $17.06.

Manufacturer Payment Nature Product Type Amount ($)
IMPEL PHARMACEUTICALS INC.
Food and Beverage
In-kind items and services
Trudhesa General $17.06

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
128 128 $792.00 $103.99
99285 Emergency department visit with high level of medical decision making
103 102 $1156.32 $151.65

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 23 58 $88.11 23
Meloxicam Meloxicam 20 360 $75.21 20
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 19 133 $82.53 19
Ondansetron Odt Ondansetron 17 41 $65.98 16
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 15 148 $157.31 15
Doxycycline Hyclate Doxycycline Hyclate 14 134 $227.73 14

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA3242

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
292120100 (FL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1528703055

Doctor of Medicine (M.D.)

Amber Andrews , CRNA

Nurse Anesthetist, Certified Registered

NPI 1649819418

Certified Registered Nurse Anesthetist

Dr. Kenneth Baker , MD

Radiology - Diagnostic Radiology

NPI 1457464786

Doctor of Medicine (M.D.)

Dr. David Baldwin , MD

Emergency Medicine

NPI 1265486799

Doctor of Medicine (M.D.)

Jason Ballard

Nurse Practitioner - Family

NPI 1275074510
Dr. Gregg Baran , MD

Radiology - Diagnostic Radiology

NPI 1104885573

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 16, 2018

Registered at 5151 N 9TH AVE, PENSACOLA, FL 325048721 (Tel: 8504167000)

๐Ÿ“
Updated Business Mailing Address January 16, 2018

Registered at PO BOX 2699, PENSACOLA, FL 325132699 (Tel: 8504167000)

๐Ÿ‘ค
Provider Name / Credentials Updated January 16, 2018

Recorded as GLENN LYSACK, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Physician Assistant (license number reported to NPPES: FL PA3242)

โœ…
NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 15, 2016

Registered at 5151 N 9TH AVE, PENSACOLA, FL 325048721 (Tel: 8504167000)

๐Ÿ“
Business Mailing Address (Initial Record) February 15, 2016

Registered at PO BOX 2699, PENSACOLA, FL 325132699 (Tel: 8504167000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 15, 2016

Recorded as GLENN LYSACK, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Physician Assistant (license number reported to NPPES: FL PA3242)

๐ŸŸข
Initial NPI Registration & Enumeration June 04, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578501094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: January 16, 2018
Sole Proprietor: No

Other Physician Assistants in Pensacola

All Physician Assistants in Pensacola

Mailing Address

Po Box 2699

Pensacola, FL 325132699

Phone: 8504167000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.