DR. DOUGLAS R DEBENHAM (M.D.) – Radiation Oncology Physician, NPI 1821056425

DR. DOUGLAS R DEBENHAM (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 11906 (NV). The NPI Number for DR. DOUGLAS R DEBENHAM (M.D.) is 1821056425

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS R DEBENHAM (M.D.)
NPI
1821056425
Phone
(775) 748-4673
Address
PO BOX 410473
Enumeration Date
3 May 2006
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
8124711200
Graduation Year
1994 (32 years ago)
PAC ID
5890758247
Group Practice PAC ID
1153493341
Professional Enrollment ID
I20171205001678
Address ID
IN476308909NE3699XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:20State licenses:4Digital endpointsOther names

53 RADIATION ONCOLOGY in NV

Provider Addresses for DR. DOUGLAS R DEBENHAM (M.D.)

  • PO BOX 410473

    SALT LAKE CITY, UT 841410473

    Phone: (775) 748-4673

    Fax: (775) 777-3580

    Type: Mailing

  • 11017 CHERWELL CT

    LAS VEGAS, NV 891444526

    Phone: (907) 280-8724

    Type: Mailing

  • 11017 Cherwell Ct

    Las Vegas, NV 891444526

    Phone: (907) 280-8724

    Type: Location

  • 3699 EPWORTH RD

    NEWBURGH, IN 476308909

    Phone: (812) 471-1200

    Type: Location

  • 2003, Errecart Boulevard, Elko, Elko County, Nevada, 89801, United States

    ELKO, NV 898018333

    Phone: (775) 748-4673

    Fax: (775) 777-3580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $1,359.

Total Amount is formed as General ($1,359) + Research ($0) + Ownership ($0) = $1,359.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($300).

Total Amount

$1,359

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2017-12-05

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
I20171205001678IRadiation OncologyINTBD

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
77014Ct guidance for insertion of radiation therapy fields3,638104$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session3,589103$0
77336Continuing radiation therapy consultation per week730103$0
77427Radiation treatment management, 5 treatment sessions728103$0
77300Calculation of radiation therapy dose17589$0
View full utilization report →

Insurance plans in this area (ZIP 84141)

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Provider's Procedures

DR. DOUGLAS R DEBENHAM (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYNV77263Management of radiation therapy, complex2019
RADIATION ONCOLOGYNV77300Calculation of radiation therapy dose12620

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: 1153493341View full group profile
NameSpecialtyState
-IN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME
Family PracticeME
-ME
P O D I A T R YME
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Nurse PractitionerIN
-ME
Physician AssistantTN

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Frequently asked questions

Does DR. DOUGLAS R DEBENHAM (M.D.) have a public NPI I can cite?
Public records show DR. DOUGLAS R DEBENHAM (M.D.) under NPI 1821056425.
Should I treat DR. DOUGLAS R DEBENHAM (M.D.) as an active provider?
Patients and plans typically see DR. DOUGLAS R DEBENHAM (M.D.) as active in the national extract.
What type of care does DR. DOUGLAS R DEBENHAM (M.D.) provide?
DR. DOUGLAS R DEBENHAM (M.D.)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DOUGLAS R DEBENHAM (M.D.)?
DR. DOUGLAS R DEBENHAM (M.D.) is associated with Salt Lake City, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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