OTTO GOYCO
NPI 1013990431
Internal Medicine in Cumming, GA
About Otto Goyco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTTO GOYCO (NPI 1013990431) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (042473) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Otto Goyco is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Otto Goyco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GANorthside Hospital Cherokee
Acute Care Hospitals · Canton, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMMING, GA 30041
CUMMING, GA 30041
CUMMING, GA 30041
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 Otto Goyco's NPI number?
The NPI number for Otto Goyco is 1013990431. It was assigned to this individual provider in the NPPES registry on November 21, 2005.
Where is Otto Goyco located?
Otto Goyco practices at 900 Sanders Rd Suite B, Cumming, GA 30041. The listed phone number is (770) 781-8840.
What is Otto Goyco's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Otto Goyco enrolled in Medicare?
Yes. Otto Goyco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Otto Goyco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Otto Goyco reassigns Medicare benefits to Northside Primary Care Professional Services, LLC (Dawsonville, GA). The 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 Otto Goyco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Otto Goyco accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Otto Goyco 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.
Is Otto Goyco affiliated with any hospitals?
According to CMS data, Otto Goyco is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett, Northside Hospital and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Otto Goyco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Otto Goyco · NPI 1013990431
Internal Medicine physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since November 21, 2005.
## Identity
- **NPI:** 1013990431 (Entity type: Individual)
- **Enumerated:** November 21, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 042473 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 900 SANDERS RD, SUITE B, Cumming, GA 30041-5960
- **Phone:** (770) 781-8840 · **Fax:** (770) 781-8098
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1013990431) · Data from the CMS NPPES public registry.