MARY BEVENS GOODMAN NP-C
NPI 1043677339
Nurse Practitioner - Obstetrics & Gynecology in Beverly Hills, CA

Active since January 19, 2016PECOS EnrolledAccepts Medicare Assignment
450 N ROXBURY DR, SUITE #500, BEVERLY HILLS, CA 90210(310) 277-2393 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Bevens Goodman Np-c NPPES

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

MARY BEVENS GOODMAN NP-C (NPI 1043677339) is an individual obstetrics & gynecology provider in Beverly Hills, California, licensed in California (NP95003472) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043677339
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMARY BEVENS GOODMANCredential: NP-C
Location Address450 N ROXBURY DR, SUITE #500Beverly Hills, CA 90210-4231
Mailing Address450 N Roxbury Dr, Suite #500Beverly Hills, CA 90210-4231 · (310) 277-2393
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 19, 2016
NPI 1043677339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in CA · NP95003472
450 N ROXBURY DR, Beverly Hills, CA 90210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Bevens Goodman Np-c 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.

PECOS PAC ID7315211968
PECOS Enrollment IDI20170920000891
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.

Areas of Expertise CMS Part B claims

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.

Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910
This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
115 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Clinical Medical Laboratory
450 N ROXBURY DR, SUITE 520
BEVERLY HILLS, CA 90210
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Clinic/Center (Ambulatory Surgical)
450 N ROXBURY DR, SUITE 250
BEVERLY HILLS, CA 90210
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Physician Assistant (Surgical)
450 N ROXBURY DR
BEVERLY HILLS, CA 90210
Surgery
450 N ROXBURY DR, SUITE 224
BEVERLY HILLS, CA 90210
Radiology (Radiation Oncology)
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210
Nurse Anesthetist, Certified Registered
450 N ROXBURY DR, SUITE 600
BEVERLY HILLS, CA 90210

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 Mary Goodman's NPI number?

The NPI number for Mary Goodman is 1043677339. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Mary Goodman located?

Mary Goodman practices at 450 N Roxbury Dr Suite #500, Beverly Hills, CA 90210. The listed phone number is (310) 277-2393.

What is Mary Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Mary Goodman enrolled in Medicare?

Yes. Mary Goodman 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.

When was this NPI record last updated?

The NPPES record for Mary Goodman was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.