Timothy Paul Kordick, CRNA
NPI 1174796601ActiveIndividual· Nurse Anesthetist, Certified Registered· Poplar Bluff, MO
Nurse Anesthetist, Certified Registered (CRNA) with Rural Health Pain Management LLC, practicing in Poplar Bluff, Missouri. Medicare paid $16,868 for services to 124 patients in 2024. Medtronic, Inc. reported $39.19 in payments in 2024, mostly food and beverage. Lists Poplar Bluff Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1174796601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Apr 4, 2008 |
| Last updated in NPPES | Apr 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2004031215 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 124 |
|---|---|
| Services billed | 131 across 27 procedure codes |
| Paid by Medicare | $16,868 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Rural Health Pain Management LLCAnaconda, MT · 34 clinicians
Hospital affiliation
- Poplar Bluff Regional Medical CenterPoplar Bluff, MO
Industry payments (Open Payments)
- 2024$39.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $39.19 | 1 |
What the 2024 payments were for
- Food and Beverage$39.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 nurse anesthetists in Poplar Bluff · All nurse anesthetists in Missouri