WILLIAM LOGAN DEDMON (DO) – Family Medicine Physician, NPI 1871054668
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for WILLIAM LOGAN DEDMON (DO)
500, East 75th Street, Indianapolis, Indiana, 46240, United States
INDIANAPOLIS, IN 462502890
Phone:
Type: Mailing
East 10th Street, Irvington, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462292697
Phone: (317) 355-5717
Type: Location
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 379091383
Phone: (865) 584-4747
Fax: (865) 584-1363
Type: Mailing
103 MIDLAKE DR UPPR LEVEL
KNOXVILLE, TN 379183002
Phone: (865) 687-1973
Fax: (833) 908-2091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 297 Open Payments records for all available years, with a total value of $4,734.
Total Amount is formed as General ($4,734) + Research ($0) + Ownership ($0) = $4,734.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($640).
Total Amount
$4,734
General + Research + Ownership
Payments
297
Total payment records
General Amount
$4,734
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $640 |
| Novo Nordisk Inc | $587 |
| GlaxoSmithKline, LLC. | $539 |
| ABBVIE INC. | $518 |
| Lilly USA, LLC | $229 |
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: 2022-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220823000033 | I | Family Practice | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 258 | 108 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 218 | 109 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 171 | 100 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 124 | 87 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | 90 | $0 |
Insurance plans in this area (ZIP 46250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine, Family Practice | TN | |
| - | FL | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Neurology, General Practice | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN |
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