ALEXANDER MICHAEL GOLDNER (PA) – Physician Assistant, NPI 1164857520

ALEXANDER MICHAEL GOLDNER (PA) is a healthcare provider. based in Corvallis, Oregon. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA2013-0058 (NM). The NPI Number for ALEXANDER MICHAEL GOLDNER (PA) is 1164857520

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER MICHAEL GOLDNER (PA)
NPI
1164857520
Phone
(541) 737-9355
Address
201 PLAGEMAN BLDG
Enumeration Date
4 September 2013
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
1658509955
Group Practice PAC ID
9931097987
Professional Enrollment ID
I20190816002926

Contacts

Secure Messaging
agoldner167055@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

Provider Addresses for ALEXANDER MICHAEL GOLDNER (PA)

  • 201 PLAGEMAN BLDG

    CORVALLIS, OR 973318567

    Phone: (541) 737-9355

    Type: Mailing

  • 850 SW 26TH ST

    CORVALLIS, OR 973318624

    Phone: (541) 737-9355

    Type: Location

  • 5234 SW Philomath Blvd

    Corvallis, OR 973331042

    Phone: (541) 768-4970

    Type: Location

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-08-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190816002926IPhysician AssistantORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97331)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931097987View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
-OR
-OR
Clinical PsychologistOR
Internal Medicine, Pediatric MedicineOR
Family PracticeOR
-OR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for ALEXANDER MICHAEL GOLDNER (PA) in U.S. healthcare records?
The official identifier for ALEXANDER MICHAEL GOLDNER (PA) is NPI 1164857520.
Would ALEXANDER MICHAEL GOLDNER (PA) appear as active to a payer?
You can treat ALEXANDER MICHAEL GOLDNER (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ALEXANDER MICHAEL GOLDNER (PA)?
ALEXANDER MICHAEL GOLDNER (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ALEXANDER MICHAEL GOLDNER (PA)?
Directory geography for ALEXANDER MICHAEL GOLDNER (PA) centers on Corvallis, Oregon.
Does ALEXANDER MICHAEL GOLDNER (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MR. TERRY L JONES (PA C)

Physician Assistant
930 SW ABBEY ST STE A
NPI: 1407842636

STEPHEN A BENNETT (PAC)

Physician Assistant
1128, Northeast 2nd Street;Albany-Corvallis Highway no. 31, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1285622589

DEAN D JORDAN (PA-C)

Physician Assistant
1122, Northeast 2nd Street, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1487642799
2773 NW 9TH ST
NPI: 1376524694

BRIAN E GRANVALL (PA-C)

Diagnostic Radiology Physician
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
NPI: 1205809852
777 NW 9th St Ste 210C
NPI: 1205801289
PO BOX 1189
NPI: 1427018027

KELLY L CAMPBELL (PA)

Surgical Physician Assistant
3640 NW Samaritan Dr Ste 120
NPI: 1386605913