DR. KURTIS CHARLES DORNAN (M.D.) – Family Medicine Physician, NPI 1518188879
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KURTIS CHARLES DORNAN (M.D.)
37855, Elva Lane, Waterbury, North Ridgeville, Lorain County, Ohio, 44039, United States
NORTH RIDGEVILLE, OH 440398719
Phone: (330) 473-2201
Type: Mailing
35557 CENTER RIDGE RD
NORTH RIDGEVILLE, OH 440393019
Phone: (440) 240-1655
Fax: (440) 240-1663
Type: Location
Detroit Road, Beach Cliff, Rocky River, Cuyahoga County, Ohio, 44145, United States
ROCKY RIVER, OH 441161885
Phone: (216) 608-8000
Fax: (216) 608-8001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $822.
Total Amount is formed as General ($822) + Research ($0) + Ownership ($0) = $822.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($391).
Total Amount
$822
General + Research + Ownership
Payments
53
Total payment records
General Amount
$822
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-08-28
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 |
|---|---|---|---|---|
| I20070828001118 | I | Family Practice | OH | 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 | 82 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
| G0008 | Administration of influenza virus vaccine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Nurse Practitioner | OH |
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