DR. GLENN A MCDONALD (MD) – Nephrology Physician, NPI 1336104389

DR. GLENN A MCDONALD (MD) is a healthcare provider. based in Longview, Texas. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 308302 (LA). The NPI Number for DR. GLENN A MCDONALD (MD) is 1336104389

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN A MCDONALD (MD)
NPI
1336104389
Phone
(903) 234-9992
Address
3535 N FOURTH ST STE 301
Enumeration Date
20 April 2006
Last Update Date
6 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9032349992
Graduation Year
1990 (36 years ago)
PAC ID
9638126204
Group Practice PAC ID
6901856806
Professional Enrollment ID
I20050405001423
Address ID
TX756050037LO3535XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. GLENN A MCDONALD (MD)

  • 3535 N FOURTH ST STE 301

    LONGVIEW, TX 756050037

    Phone: (903) 234-9992

    Fax: (903) 234-8287

    Type: Mailing

  • 1815 E 70th St

    Shreveport, LA 711055301

    Phone: (800) 276-9017

    Fax: (903) 234-8287

    Type: Location

  • Southwest 4th Street, Pine Ridge, Longview, Lee's Summit, Jackson County, Missouri, 64081, United States

    STE 300

    LONGVIEW, TX 756014774

    Phone: (903) 234-9992

    Fax: (903) 234-8287

    Type: Location

  • 1402, North Fourth Street, Pegues Estates, Longview, Gregg County, Texas, 75601, United States

    STE 300

    LONGVIEW, TX 756016464

    Phone: (903) 234-9992

    Fax: (903) 234-8287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $426.

Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($70).

Total Amount

$426

General + Research + Ownership

Payments

19

Total payment records

General Amount

$426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2018-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050405001423INephrologyTXTBD
I20181217002166INephrologyLATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes777363$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes424147$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)391165$0
90966Home dialysis services per month (20 years or older)22935$0
90935Hemodialysis procedure with physician evaluation18079$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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Provider's Procedures

DR. GLENN A MCDONALD (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older223110
NEPHROLOGYTX90966Home dialysis services per month, patient 20 years of age or older22529

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: 6901856806View full group profile
NameSpecialtyState
N E P H R O L O G YKY
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Internal Medicine, NephrologyTX
Internal Medicine, Nephrology, NephrologyTX
Critical Care (Intensivists)TX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

Can I verify DR. GLENN A MCDONALD (MD) with an NPI only?
You can start verification with NPI 1336104389 for DR. GLENN A MCDONALD (MD), then check state licensing separately.
Is DR. GLENN A MCDONALD (MD) still practicing?
DR. GLENN A MCDONALD (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. GLENN A MCDONALD (MD)?
For research purposes, treat DR. GLENN A MCDONALD (MD) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. GLENN A MCDONALD (MD) based?
DR. GLENN A MCDONALD (MD) is tied to Longview, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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