ALAN DEBORD MD
NPI 1902864796
Specialist in Peoria, IL

Active since May 02, 2006PECOS Enrolled
200 E PENNSYLVANIA AVE, PEORIA, IL 61603(309) 655-2045(309) 655-3057 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alan Debord Md NPPES

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

ALAN DEBORD MD (NPI 1902864796) is an individual specialist in Peoria, Illinois, licensed in Illinois (036055826) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902864796
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameALAN DEBORDCredential: MD
Location Address200 E PENNSYLVANIA AVEPeoria, IL 61603-3089
Mailing Address200 E Pennsylvania AvePeoria, IL 61603-3089 · (309) 655-2045 · Fax (309) 655-3057
Fax(309) 655-3057
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 10, 2012
NPI 1902864796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036055826
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 E PENNSYLVANIA AVE, Peoria, IL 61603

Other Identifiers 6

Medicaid036055826IL
Medicare PINR02868IL
OtherCA4079IL · Rr Medicare Group Ptan
OtherP00651196IL · Rr Medicare Member Ptan
Medicare UPINC37276IL
Other809840IL · Medicare Group Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alan Debord Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers47 claims7,680 services$1.50 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers45 claims8,973 services$5.25 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier17 claims400 services$3.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Nurse Practitioner
200 E PENNSYLVANIA AVE
PEORIA, IL 61603

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 Alan Debord's NPI number?

The NPI number for Alan Debord is 1902864796. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Alan Debord located?

Alan Debord practices at 200 E Pennsylvania Ave, Peoria, IL 61603. The listed phone number is (309) 655-2045.

What is Alan Debord's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alan Debord enrolled in Medicare?

Yes. Alan Debord is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alan Debord was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.