LOGAN DEBORD (MD) – Dermatology Physician, NPI 1104387794
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
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Provider Addresses for LOGAN DEBORD (MD)
Hampton Cove, The Villas at Hamilton Place, Boerne, Kendall County, Texas, 78006, United States
BOERNE, TX 780065667
Phone:
Type: Mailing
Presbyterian / Saint Luke's Medical Center, 1719, East 19th Avenue, City Park West, Denver, Denver County, Colorado, 80218, United States
DENVER, CO 802181235
Phone: (303) 869-2278
Type: Location
984 N 10 MILE DR
#103
FRISCO, CO 804435719
Phone: (970) 668-0998
Type: Location
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 139 Open Payments records for all available years, with a total value of $3,682.
Total Amount is formed as General ($3,682) + Research ($0) + Ownership ($0) = $3,682.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($527).
Total Amount
$3,682
General + Research + Ownership
Payments
139
Total payment records
General Amount
$3,682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $527 |
| GENZYME CORPORATION | $512 |
| Regeneron Healthcare Solutions, Inc. | $375 |
| Dermavant Sciences, Inc. | $367 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $321 |
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: 2023-03-31
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 |
|---|---|---|---|---|
| I20230331001926 | I | Dermatology | CO | 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 | 426 | 119 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 153 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 107 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 115 | 110 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 68 | 54 | $0 |
Insurance plans in this area (ZIP 78006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | CO | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | PR | |
| Physician Assistant | CO |
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