GLEN XIONG (M.D.) – Psychiatry Physician, NPI 1114945102

GLEN XIONG (M.D.) is a healthcare provider. based in Sacramento, California. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A93942 (CA). The NPI Number for GLEN XIONG (M.D.) is 1114945102

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
GLEN XIONG (M.D.)
NPI
1114945102
Phone
(916) 734-7814
Address
2230 STOCKTON BLVD
Enumeration Date
17 July 2006
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
9169227177
Graduation Year
2001 (25 years ago)
PAC ID
6103829007
Group Practice PAC ID
5698165975
Professional Enrollment ID
I20060815000181
Address ID
CA958382609SA500XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

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Provider Addresses for GLEN XIONG (M.D.)

  • 2230, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958171419

    Phone: (916) 734-7814

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($100).

Total Amount

$214

General + Research + Ownership

Payments

3

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-08-15

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
I20060815000181IPsychiatryCATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes393190$0
90792Psychiatric diagnostic evaluation with medical services306292$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes225141$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes128117$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Provider's Procedures

GLEN XIONG (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYCA90792Psychiatric diagnostic evaluation with medical services102100

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: 5698165975View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do I look up GLEN XIONG (M.D.) by NPI?
Use NPI 1114945102 when you need to reference GLEN XIONG (M.D.) in forms, claims, or directories.
Is GLEN XIONG (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GLEN XIONG (M.D.)?
The page reflects Psychiatry Physician for GLEN XIONG (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for GLEN XIONG (M.D.)?
We surface Sacramento, California for GLEN XIONG (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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