GEORGE RUSSELL GLENN MD PHD
NPI 1396239125
Radiology - Diagnostic Radiology in Dallas, TX

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment

2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219(510) 683-9500 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2026, Dec 7, 2023, Jun 15, 2018 (3 updates tracked since 2018).

On this page

About George Russell Glenn Md Phd NPPES

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

GEORGE RUSSELL GLENN MD PHD (NPI 1396239125) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Florida (ME176998) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1396239125

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGEORGE RUSSELL GLENNCredential: MD PHD

Location Address2825 OAK LAWN AVE UNIT 192749Dallas, TX 75219-4688

Mailing Address2825 Oak Lawn Ave Unit 192749Dallas, TX 75219-4688 · (510) 683-9500 · Fax (877) 880-2039

Phone(510) 683-9500

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018

Enumeration DateJune 15, 2018

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1396239125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME176998✔ Licensed in MI · 4301515727✔ Licensed in GA · 95127✔ Licensed in IL · 036165017

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2825 OAK LAWN AVE UNIT 192749, Dallas, TX 75219

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Internal Medicine Clinic, 1801 Sunset DriveColumbia, SC 29203 · Phone (803) 434-4153 · Fax (803) 434-4160

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

George Russell Glenn Md Phd 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 ID9234483066

PECOS Enrollment IDI20260114002716

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

48 services48 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

36 services36 patients

Mri scan of lower spinal canal without contrast 72148

22 services22 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

18 services18 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

17 services17 patients

Mri scan of brain before and after contrast 70553

16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140110

Location1100 E Norris DriveOttawa, IL 61350 · La Salle County

Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140161

Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County

Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75219 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

JANIS ELLEN ROSENFELD-BARBASH MD

Radiology (Diagnostic Radiology)