ALEXANDER MICHAEL GOLDNER (PA) – Physician Assistant, NPI 1164857520
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
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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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190816002926 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 97331)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Clinical Psychologist | OR | |
| Internal Medicine, Pediatric Medicine | OR | |
| Family Practice | OR | |
| - | OR | |
| Hospitalist, Family Practice | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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