HEIDI DEARBORN (DO) – Dermatology Physician, NPI 1003317744
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for HEIDI DEARBORN (DO)
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: (210) 916-2500
Type: Location
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 782365638
Phone: (210) 292-5350
Type: Mailing
6648 E Carondelet Dr
Tucson, AZ 857102119
Phone: (520) 886-8151
Type: Location
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($125).
Total Amount
$204
General + Research + Ownership
Payments
5
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $125 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $25 |
| E.R. Squibb & Sons, L.L.C. | $21 |
| Biofrontera Inc. | $19 |
| LEO Pharma Inc. | $14 |
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: 2023-01-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221013000561 | I | Dermatology | AZ | TBD |
| I20230104000915 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 74 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 21 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 17 | 15 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 12 | 12 | $0 |
Insurance plans in this area (ZIP 78234)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | AZ | |
| Physician Assistant | TX |
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