DR. MARK JAMES GOETHE MD
NPI 1073535829
Orthopaedic Surgery in Midland, MI

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
4401 CAMPUS RIDGE DR, MIDLAND, MI 48640(989) 832-0323(989) 631-0886 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark James Goethe Md NPPES

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

DR. MARK JAMES GOETHE MD (NPI 1073535829) is an individual orthopaedic surgery provider in Midland, Michigan, licensed in Michigan (4301405876) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center West Branch, and is a graduate of University Of Michigan Medical School (1985).

NPPES Registry Identity

NPI1073535829
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK JAMES GOETHECredential: MD
Location Address4401 CAMPUS RIDGE DRMidland, MI 48640-6112
Mailing Address4401 Campus Ridge DrMidland, MI 48640 · (989) 832-0323 · Fax (989) 631-0886
Fax(989) 631-0886
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1985
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 25, 2017
NPI 1073535829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301405876
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4401 CAMPUS RIDGE DR, Midland, MI 48640

Other Identifiers 5

Medicare UPINE49409
Medicare ID-Type UnspecifiedN84000001
Other2005601332MI · Bcbs
OtherP72856MI · Bcn
Medicaid2971771MI

Accepted Insurance

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

Dr. Mark James Goethe Md 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 ID9436040342
PECOS Enrollment IDI20040322000805
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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
30 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 11

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

Social Worker
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Advanced Practice Midwife
4401 CAMPUS RIDGE DR, STE LL0110
MIDLAND, MI 48640
Physical Therapist
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Social Worker (Clinical)
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Physician Assistant
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Physical Therapist
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Student in an Organized Health Care Education/Training Program
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640
Nurse Practitioner (Family)
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640

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 Mark Goethe's NPI number?

The NPI number for Mark Goethe is 1073535829. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mark Goethe located?

Mark Goethe practices at 4401 Campus Ridge Dr, Midland, MI 48640. The listed phone number is (989) 832-0323.

What is Mark Goethe's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Goethe enrolled in Medicare?

Yes. Mark Goethe 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.

What insurance does Mark Goethe accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark Goethe 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 Mark Goethe affiliated with any hospitals?

According to CMS data, Mark Goethe is affiliated with Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Mark Goethe was last updated on September 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.