JEFFREY JR. HARBOLD (DO) – Dermatology Physician, NPI 1700260197

JEFFREY JR. HARBOLD (DO) is a healthcare provider. based in Dallas, Texas. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. R2868 (TX). The NPI Number for JEFFREY JR. HARBOLD (DO) is 1700260197

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY JR. HARBOLD (DO)
NPI
1700260197
Phone
(214) 420-0650
Address
5310 HARVEST HILL RD STE 290
Enumeration Date
15 July 2015
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035346200
Graduation Year
2015 (11 years ago)
PAC ID
4880901610
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20171009002527
Address ID
TX757014437TY1720XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for JEFFREY JR. HARBOLD (DO)

  • 5310 HARVEST HILL RD STE 290

    DALLAS, TX 752305826

    Phone: (214) 420-0650

    Type: Mailing

  • 1720 S BECKHAM AVE STE 102

    TYLER, TX 757014437

    Phone: (903) 618-2125

    Type: Location

  • 1111 6TH AVE

    DES MOINES, IA 503142613

    Phone: (515) 643-2261

    Fax: (515) 643-5802

    Type: Mailing

  • 1367 Dominion Plz

    Tyler, TX 757031013

    Phone: (903) 618-2326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $3,043.

Total Amount is formed as General ($3,043) + Research ($0) + Ownership ($0) = $3,043.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($807).

Total Amount

$3,043

General + Research + Ownership

Payments

152

Total payment records

General Amount

$3,043

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2017-10-09

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
I20171009002527IDermatologyTXTBD

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 growths1,335262$0
99213Established patient office or other outpatient visit, 20-29 minutes417344$0
17000Destruction of precancer skin growth, 1 growth375333$0
11102Biopsy of related skin growth, first growth230221$0
17110Destruction of skin growth, 1-14 growths204187$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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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: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
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
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Where can patients find JEFFREY JR. HARBOLD (DO)'s NPI?
You can confirm JEFFREY JR. HARBOLD (DO) with NPI 1700260197; it appears in the national provider directory.
Is JEFFREY JR. HARBOLD (DO) currently active in the NPI registry?
CMS-published data lists JEFFREY JR. HARBOLD (DO) as an active registrant.
What kind of provider is JEFFREY JR. HARBOLD (DO)?
The page reflects Dermatology Physician for JEFFREY JR. HARBOLD (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEFFREY JR. HARBOLD (DO)?
The page summarizes Dallas, Texas for JEFFREY JR. HARBOLD (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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