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ANDREA GOUGH-GOLDMAN MD
NPI 1013273861
Family Medicine - Addiction Medicine in Portland, OR

Active since April 05, 2012PECOS Enrolled
3580 SE 82ND AVE, PORTLAND, OR 97266(971) 339-9240 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2023, Feb 14, 2022, Jul 22, 2019 (3 updates tracked since 2019).

About Andrea Gough-goldman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA GOUGH-GOLDMAN MD (NPI 1013273861) is an individual addiction medicine provider in Portland, Oregon, licensed in Oregon (MD172073) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013273861
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameANDREA GOUGH-GOLDMANCredential: MD
Location Address3580 SE 82ND AVEPortland, OR 97266-2902
Mailing Address3580 Se 82nd AvePortland, OR 97266-2902 · (719) 339-9240
Phone(971) 339-9240
Sole ProprietorNo
Enumeration DateApril 5, 2012
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1013273861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OR · MD172073
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
3580 SE 82ND AVE, Portland, OR 97266
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11030 NE Couch StPortland, OR 97232-3067 · Phone (503) 239-8400
Location 21700 NE 102nd AvePortland, OR 97220-3804 · Phone (503) 813-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Gough-goldman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Gough-goldman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Northwest
2.9 mi
General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 3,207 clinicians in this Medicare group
NPI 1063990695 (800) 813-2000
Coda, Inc.
4.2 mi
Substance Abuse Rehabilitation Facility
1027 E BURNSIDE ST
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1437213865 (503) 239-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAI LADA
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (949) 324-1194
MINA SATTARI
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
MICHELLE TREECE LPN
Licensed Practical Nurse
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
DEANNA SHERRIE WASHINGTON-SCHOPPERT
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
TONY D MUNDEN CADC2
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
JENNIFER BLAIN CADC II
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
JAMES SMITH
Peer Specialist
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240
MS. STARLENE RIGDON
Counselor (Addiction (Substance Use Disorder))
3580 SE 82ND AVE
PORTLAND, OR 97266
Multnomah County (971) 339-9240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Gough-goldman's NPI number?

The NPI number for Andrea Gough-goldman is 1013273861. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Andrea Gough-goldman located?

Andrea Gough-goldman practices at 3580 SE 82nd Ave, Portland, OR 97266. The listed phone number is (971) 339-9240.

What is Andrea Gough-goldman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Andrea Gough-goldman enrolled in Medicare?

Yes. Andrea Gough-goldman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Gough-goldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Gough-goldman reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR) and Coda, Inc. (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Gough-goldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Gough-goldman accept?

Health plans from PacificSource Health Plans list Andrea Gough-goldman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Gough-goldman was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.