MR. BLAINE MICHAEL CORNELIUS (P.A.) – Physician Assistant, NPI 1811941404
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for MR. BLAINE MICHAEL CORNELIUS (P.A.)
BOX, Kastellgatan, Kommendantsängen, Olivedal, Majorna-Linné, Gothenburg, Göteborgs Stad, Västra Götaland County, 41122, Sweden
GOTHENBURG, NE 691380389
Phone: (308) 537-3674
Fax: (308) 537-3674
Type: Mailing
The Remedy, 619, 10th Street, Gothenburg, Dawson County, Nebraska, 69138, United States
GOTHENBURG, NE 691382063
Phone: (308) 537-3674
Fax: (308) 537-3675
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $825.
Total Amount is formed as General ($825) + Research ($0) + Ownership ($0) = $825.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($345).
Total Amount
$825
General + Research + Ownership
Payments
47
Total payment records
General Amount
$825
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $345 |
| Lilly USA, LLC | $108 |
| PFIZER INC. | $61 |
| Amgen Inc. | $41 |
| Exact Sciences Corporation | $35 |
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: 2006-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060405000359 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 127 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 169 | 118 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 77 | 69 | $0 |
| 83036 | Hemoglobin a1c level | 70 | 45 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 58 | 55 | $0 |
Insurance plans in this area (ZIP 69138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | NE | |
| Emergency Medicine | OH | |
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology) | NE | |
| Physician Assistant | NE | |
| - | TN | |
| Orthopedic Surgery | NE | |
| Family Practice | NE | |
| - | CO |
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