Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHEAL CORY DEARBORN DO
NPI 1528569902
Nuclear Medicine in San Antonio, TX

Active since February 22, 2018PECOS Enrolled
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, Apr 30, 2026, Mar 3, 2026 and 6 more (9 updates tracked since 2018).

About Dr. Micheal Cory Dearborn Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHEAL CORY DEARBORN DO (NPI 1528569902) is an individual nuclear medicine provider in San Antonio, Texas, licensed in Washington (DO.OP.61672573-IMLC) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1528569902
Entity TypeIndividualMale
Primary Taxonomy207U00000X
Provider Legal NameDR. MICHEAL CORY DEARBORNCredential: DO
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address9040a Jackson AveJblm, WA 98431 · (253) 968-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 22, 2018
Last NPPES UpdateSeptember 10, 20269 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1528569902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNuclear MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207U00000X
Licenses✔ Licensed in WA · DO.OP.61672573-IMLC✔ Licensed in ME · DO2965
Definition
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License V5255 (TX)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License DO2965 (ME), V5255 (TX), 036174189 (IL)
4502 MEDICAL DR, San Antonio, TX 78229

Secondary Practice Location 1

Location 18300 Floyd Curl DrSan Antonio, TX 78229-3931 · Phone (210) 450-6000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Micheal Cory Dearborn Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436689494
PECOS Enrollment IDI20250206001743, I20250606001989, I20250626003871, I20260114002776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

21

Medicare enrollment records show Micheal Dearborn reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 1,278 clinicians in this Medicare group
Diagnostic Radiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, Texas enrollment
  • 103 clinicians in this Medicare group
Diagnostic Radiology
812 N CHARLOTTE ST
Dickson, TN 37055
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
Diagnostic Radiology
4321 CAROTHERS PKWY
Franklin, TN 37067
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
Specialist
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Critical Access
911 STACEY BURK DR
Flora, IL 62839
  • Reassigned Medicare billing, Illinois enrollment
  • 65 clinicians in this Medicare group
Diagnostic Radiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micheal Dearborn's NPI number?

The NPI number for Micheal Dearborn is 1528569902. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Where is Micheal Dearborn located?

Micheal Dearborn practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Micheal Dearborn's specialty?

The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.

Is Micheal Dearborn enrolled in Medicare?

Yes. Micheal Dearborn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Micheal Dearborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micheal Dearborn reassigns Medicare benefits to 21 organizations: Uthscsa Dental School (San Antonio, TX), Singleton Associates PA (Shenandoah, TX), Imaging Associates Of New Mexico LLC (Albuquerque, NM), Middle Tennessee Imaging LLC (Dickson, TN), Adi Radiology PC (Franklin, TN) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micheal Dearborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micheal Dearborn accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 10 other insurers list Micheal Dearborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Micheal Dearborn affiliated with any hospitals?

According to CMS data, Micheal Dearborn is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Ascension St Vincent Hospital, Deaconess Medical Center and Capital Medical Center.

When was this NPI record last updated?

The NPPES record for Micheal Dearborn was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.