DR. CORDELL EVAN HARTHOORN (M.D.) – Family Medicine Physician, NPI 1174769301
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CORDELL EVAN HARTHOORN (M.D.)
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone:
Type: Mailing
233 N 48TH ST STE K
LINCOLN, NE 685043512
Phone: (402) 831-3652
Fax: (877) 550-2086
Type: Location
302 W Phillip Ave
Norfolk, NE 687015248
Phone: (402) 370-1064
Type: Location
Midtown Health Center, 302, Phillip Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States
NORFOLK, NE 687015248
Phone: (402) 370-1064
Type: Location
2301, Clark Street, Norfolk, Madison County, Nebraska, 68701, United States
NORFOLK, NE 687012376
Phone: (402) 370-1064
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: 2004-08-09
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 |
|---|---|---|---|---|
| I20040809000428 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 47 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 37205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NE | |
| Physician Assistant | NE | |
| Clinical Social Worker | NE | |
| Physician Assistant | NE | |
| Mental Health Counselor | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | IA |
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