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

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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.

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))