ROBERT JASON CORYELL (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1619082070
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT JASON CORYELL (MD)
PO BOX 30180
MC: CDRC-P
SALT LAKE CITY, UT 841300180
Phone:
Type: Mailing
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131125
Phone: (801) 662-1000
Type: Location
707 SW Gaines St
MC: CDRC-P
Portland, OR 972392901
Phone: (503) 494-5856
Type: Location
Child Development Rehabilitation Center, 707, Southwest Gaines Street, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
MC: CDRC-P
PORTLAND, OR 972392901
Phone: (503) 494-5856
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Marinus Pharmaceuticals, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Marinus Pharmaceuticals, Inc. | $14 |
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: 2012-05-30
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 |
|---|---|---|---|---|
| I20120530000067 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84130)
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