HEIDI DEARBORN (DO) – Dermatology Physician, NPI 1003317744

HEIDI DEARBORN (DO) is a healthcare provider. based in Fort sam houston, Texas. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. DO2964 (ME). The NPI Number for HEIDI DEARBORN (DO) is 1003317744

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI DEARBORN (DO)
NPI
1003317744
Phone
(210) 916-2500
Address
3551 Roger Brooke Dr
Enumeration Date
27 February 2018
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
9153517546
Graduation Year
2018 (8 years ago)
PAC ID
6305212531
Group Practice PAC ID
3971827791
Professional Enrollment ID
I20230104000915
Address ID
TX799125881EL310XXDRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221013000561IDermatologyAZTBD
I20230104000915IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths7411$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
17000Destruction of precancer skin growth, 1 growth1715$0
11102Biopsy of related skin growth, first growth1212$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 3971827791View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YTX
Interventional Radiology, Diagnostic RadiologyTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantAZ
Physician AssistantTX

Reviews

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Frequently asked questions

Does HEIDI DEARBORN (DO) have a public NPI I can cite?
Public records show HEIDI DEARBORN (DO) under NPI 1003317744.
Should I treat HEIDI DEARBORN (DO) as an active provider?
Patients and plans typically see HEIDI DEARBORN (DO) as active in the national extract.
What does the directory say HEIDI DEARBORN (DO) does?
Insurance directories may phrase it differently, but here HEIDI DEARBORN (DO) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to HEIDI DEARBORN (DO)?
The directory associates HEIDI DEARBORN (DO) with Fort Sam Houston, Texas. Check all listed addresses for suites or satellite offices.
Can I export HEIDI DEARBORN (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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