HAROLD LANCE DEBORD (PA) – Physician Assistant, NPI 1366413874
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for HAROLD LANCE DEBORD (PA)
PO BOX 11724
KNOXVILLE, TN 379391724
Phone: (865) 766-8800
Fax: (865) 450-9374
Type: Mailing
Bristol Regional Medical Center, 1, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States
BRISTOL, TN 376207430
Phone: (423) 844-2100
Fax: (423) 844-2120
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-2100
Fax: (423) 844-2120
Type: Location
800 S MOHAWK DR STE E
ERWIN, TN 376502124
Phone: (423) 330-6177
Fax: (423) 330-6241
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: 2005-12-07
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 |
|---|---|---|---|---|
| I20051207001049 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 180 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 88 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 112 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 70 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 66 | 60 | $0 |
Insurance plans in this area (ZIP 37939)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN |
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