COREY WAYNE DORMAN (APRN) – Family Nurse Practitioner, NPI 1003465618
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for COREY WAYNE DORMAN (APRN)
2069 W. CENTER ST.
BEEBE, AR 720126873
Phone: (501) 628-9212
Type: Mailing
610 SHEPHERD DR
SEARCY, AR 721436873
Phone: (501) 268-6831
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($23).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $23 |
| Mylan Specialty L.P. | $20 |
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: 2020-09-18
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 |
|---|---|---|---|---|
| I20200918000100 | I | Nurse Practitioner | AR | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,092 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 296 | 221 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 248 | 50 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 210 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 164 | $0 |
Insurance plans in this area (ZIP 72012)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TN | |
| - | TX | |
| Nurse Practitioner | AR |
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