Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Acord Deyo, MD

Individual provider Surgery Physician · NPI 1053421800

Glenn Acord Deyo, MD is a General Surgery in University Place, Washington. Graduated from University of Texas Medical School at Houston in 1982, 44 years ago. Practices with Penobscot Valley Hospital, a 15-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
44
Trained at
University of Texas Medical School at Houston
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4521 82nd Avenue Ct W
University Place, WA 98466-2325
Phone: (253) 312-8336
Fax: (253) 475-1185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00026258 (WA)

Record details

NPI number1053421800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 5, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1982 (44 years in practice)
Group practice Penobscot Valley Hospital — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount