DR. JEANNA WELBORN (M.D.) – Hematology & Oncology Physician, NPI 1104808849

DR. JEANNA WELBORN (M.D.) is a healthcare provider. based in Sacramento, California. specializing in HEMATOLOGY/ONCOLOGY, MEDICAL GENETICS AND GENOMICS. They hold the professional credentials M.D.. They hold a License No. C41810 (CA). The NPI Number for DR. JEANNA WELBORN (M.D.) is 1104808849

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEANNA WELBORN (M.D.)
NPI
1104808849
Phone
(916) 734-3772
Address
4501 X ST STE 3016
Enumeration Date
17 November 2005
Last Update Date
14 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
9335212521
Group Practice PAC ID
8022922475
Professional Enrollment ID
I20080722000119
Address ID
CA958172307SA4860XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,531 HEMATOLOGY/ONCOLOGY in CA

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Provider Addresses for DR. JEANNA WELBORN (M.D.)

  • X Street, Land Park, Sacramento, Sacramento County, California, 95818, United States

    SACRAMENTO, CA 958172229

    Phone: (916) 734-3772

    Fax: (916) 734-7946

    Type: Mailing

  • UC Davis Comprehensive Cancer Center, 2279, 45th Street, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172229

    Phone: (916) 734-5959

    Fax: (916) 703-5265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080722000119IHematology/OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes199131$0
99214Established patient office or other outpatient visit, 30-39 minutes141113$0
99205New patient office or other outpatient visit, 60-74 minutes8080$0
99204New patient office or other outpatient visit, 45-59 minutes5353$0
99447Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022922475View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalCA
Cardiovascular Disease (Cardiology)CA
H E M A T O L O G Y/ O N C O L O G YCA
Cardiovascular Disease (Cardiology)CA
Physical Therapist In Private PracticeCA
Family PracticeCA
U R O L O G YCA
-CA
Physical Therapist In Private PracticeCA
O P T O M E T R YCT

Reviews

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Frequently asked questions

What is the registry number for DR. JEANNA WELBORN (M.D.)?
The registry entry for DR. JEANNA WELBORN (M.D.) shows NPI 1104808849.
Quick check: is DR. JEANNA WELBORN (M.D.) active?
Public NPPES data shows DR. JEANNA WELBORN (M.D.) with an active NPI status right now.
How should patients interpret DR. JEANNA WELBORN (M.D.)'s specialty?
The extract shows Hematology & Oncology Physician for DR. JEANNA WELBORN (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JEANNA WELBORN (M.D.) in Sacramento, California?
For routing, start with Sacramento, California for DR. JEANNA WELBORN (M.D.), then verify phone and hours locally.
Why is information missing for DR. JEANNA WELBORN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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