George Russell Glenn, MD PHD
NPI 1396239125ActiveIndividual· Radiology, Diagnostic Radiology· Dallas, TX
Radiology, Diagnostic Radiology (MD PHD) in Dallas, Texas, trained at Medical University of South Carolina College of Medicine (class of 2018). Medicare paid $17,578 for services to 262 patients in 2024. Straumann USA LLC reported $83.33 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1396239125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD PHD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2018 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | ME176998 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 4301515727 | MI |
| Radiology, Diagnostic Radiology | 2085R0202X | 95127 | GA |
| Radiology, Diagnostic Radiology | 2085R0202X | 036165017 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 262 |
|---|---|
| Services billed | 294 across 26 procedure codes |
| Paid by Medicare | $17,578 |
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Central Illinois Radiological Associates LtdKewanee, IL · 209 clinicians
- Cira Michigan PCPeoria, IL · 91 clinicians
Hospital affiliations
- Osf Saint Elizabeth Mdl CtrPeru, IL
- Saint Francis Medical CenterPeoria, IL
- Saint James HospitalPontiac, IL
- St Joseph Medical CenterBloomington, IL
- St Mary Medical CenterGalesburg, IL
Industry payments (Open Payments)
- 2025$83.33 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $83.33 | 1 |
What the 2025 payments were for
- Food and Beverage$83.33 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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