DR. DALLIN L DEMORDAUNT (MD) – Physical Medicine & Rehabilitation Physician, NPI 1336128388

DR. DALLIN L DEMORDAUNT (MD) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 10385220-1205 (UT). The NPI Number for DR. DALLIN L DEMORDAUNT (MD) is 1336128388

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLIN L DEMORDAUNT (MD)
NPI
1336128388
Phone
(775) 828-2873
Address
6630 S McCarran Blvd
Enumeration Date
10 January 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8017733900
Graduation Year
2001 (25 years ago)
PAC ID
5890723142
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20170622001960
Address ID
UT840417060LA2132XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

130 PHYSICAL MEDICINE AND REHABILITATION in NV

Provider Addresses for DR. DALLIN L DEMORDAUNT (MD)

  • 6630 S McCarran Blvd

    Suite A4

    Reno, NV 895096135

    Phone: (775) 828-2873

    Fax: (775) 828-2889

    Type: Location

  • 1407 N 2000 W Ste F

    Clinton, UT 840158563

    Phone: (801) 773-3900

    Fax: (801) 773-3902

    Type: Location

  • 1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840417060

    Phone: (801) 773-3900

    Fax: (801) 773-3902

    Type: Mailing

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 $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-08-14 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($27).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-14

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: 2017-06-22

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
I20170622001960IPhysical Medicine And RehabilitationUTTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study5335$0
99214Established patient office or other outpatient visit, 30-39 minutes4427$0
99213Established patient office or other outpatient visit, 20-29 minutes3525$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 89509)

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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: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

Does DR. DALLIN L DEMORDAUNT (MD) have a public NPI I can cite?
Public records show DR. DALLIN L DEMORDAUNT (MD) under NPI 1336128388.
Is DR. DALLIN L DEMORDAUNT (MD)'s NPI status active today?
Active status means DR. DALLIN L DEMORDAUNT (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DALLIN L DEMORDAUNT (MD)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for DR. DALLIN L DEMORDAUNT (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. DALLIN L DEMORDAUNT (MD) in Reno, Nevada?
For routing, start with Reno, Nevada for DR. DALLIN L DEMORDAUNT (MD), then verify phone and hours locally.
Why is information missing for DR. DALLIN L DEMORDAUNT (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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