DR. GLENN P. WEDEEN M.D.
NPI 1275577504
Radiology - Diagnostic Radiology in Victorville, CA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
15248 11TH ST, VICTORVILLE, CA 92395(760) 843-6092 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glenn P. Wedeen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN P. WEDEEN M.D. (NPI 1275577504) is an individual diagnostic radiology provider in Victorville, California, licensed in California (G75574) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (1987).

NPPES Registry Identity

NPI1275577504
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GLENN P. WEDEENCredential: M.D.
Location Address15248 11TH STVictorville, CA 92395-3704
Mailing AddressPo Box 190Simi Valley, CA 93062-0190 · (805) 522-5940 · Fax (805) 522-6401
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1987
Enumeration DateJune 16, 2006
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1275577504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G75574
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
15248 11TH ST, Victorville, CA 92395

Other Identifiers 2

Medicare UPINF72404CA
Medicaid00G755740CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenn P. Wedeen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608825492
PECOS Enrollment IDI20050119000612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

14

Medicare enrollment records show Glenn Wedeen reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
15247 ELEVENTH ST, SUITE 700
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Beverly Radiology Medical Group Iii
  • Also billed through NPI 1467647636 (California), NPI 1114112372 (California)
  • 335 clinicians in this Medicare group
Family Medicine
1520 BARTON RD
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
Vascular-Interventional Technology
16311 VENTURA BLVD STE 120
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 329 clinicians in this Medicare group
Diagnostic Radiology
1516 COTNER AVE
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 311 clinicians in this Medicare group
Diagnostic Radiology
72855 FRED WARING DR
Palm Desert, CA 92260
  • Reassigned Medicare billing, California enrollment
  • 278 clinicians in this Medicare group
Diagnostic Radiology
432 S MILL ST
Tehachapi, CA 93561
  • Reassigned Medicare billing, California enrollment
  • 252 clinicians in this Medicare group
Diagnostic Radiology
6191 N THESTA ST
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • 232 clinicians in this Medicare group
Diagnostic Radiology
157 E COOLIDGE AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 219 clinicians in this Medicare group
Radiology
2281 PARAGON DR, SUITE 400
San Jose, CA 95131
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
Diagnostic Radiology
1801 E MARCH LN STE A130
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 219 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
230 services228 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
196 services193 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
127 services127 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
106 services106 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
106 services106 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
96 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
15248 11TH ST
VICTORVILLE, CA 92395
Internal Medicine
15248 11TH ST, EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
Radiology (Diagnostic Radiology)
15248 11TH ST
VICTORVILLE, CA 92395
Pathology (Anatomic Pathology & Clinical Pathology)
15248 11TH ST
VICTORVILLE, CA 92395
Emergency Medicine
15248 11TH ST, EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
Anesthesiology
15248 11TH ST
VICTORVILLE, CA 92395
Pathology (Anatomic Pathology & Clinical Pathology)
15248 11TH ST
VICTORVILLE, CA 92395
Emergency Medicine
15248 11TH ST
VICTORVILLE, CA 92395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Wedeen's NPI number?

The NPI number for Glenn Wedeen is 1275577504. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Glenn Wedeen located?

Glenn Wedeen practices at 15248 11th St, Victorville, CA 92395. The listed phone number is (760) 843-6092.

What is Glenn Wedeen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Glenn Wedeen enrolled in Medicare?

Yes. Glenn Wedeen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Glenn Wedeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Wedeen reassigns Medicare benefits to 14 organizations: Victor Valley Advanced Imaging (Victorville, CA), Redlands Family Practice Medical Group Inc. (Redlands, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA), Pronet Imaging Medical Group, Inc. (Los Angeles, CA), Desert Advanced Imaging Medical Center (Palm Desert, CA) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Wedeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenn Wedeen was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.