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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUMEET KUMAR GOEL D.O.
NPI 1073824470
Family Medicine in Stevens Point, WI

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
2501 MAIN ST, STEVENS POINT, WI 54481(800) 942-5330 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 24, 2024, Apr 5, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Sumeet Kumar Goel D.o. NPPES

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

DR. SUMEET KUMAR GOEL D.O. (NPI 1073824470) is an individual family medicine provider in Stevens Point, Wisconsin, licensed in Wisconsin (60024-21) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wild Rose, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073824470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUMEET KUMAR GOELCredential: D.O.
Location Address2501 MAIN STStevens Point, WI 54481-4000
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(800) 942-5330
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateJune 15, 20265 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1073824470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 60024-21
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2501 MAIN ST, Stevens Point, WI 54481
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Secondary Practice Location 1

Location 1701 Grove AveWild Rose, WI 54984-6901 · Phone (920) 622-5590

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Sumeet Kumar Goel D.o. 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 ID2163663691
PECOS Enrollment IDI20130726000147
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 54481 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims58 services$6.66 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims397 services$5.50 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims6,072 services$0.46 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.33 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.78 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$25.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

CALEB HARLAN LOKEN DMD
Dentist (General Practice)
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (920) 787-5514
ALEXANDRIA ANN MASSEY RN
Registered Nurse
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (800) 942-5330
ZACHARY KHALIL KHELAH LPC
Counselor (Professional)
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 254-9072
LA CLINICA DE LOS CAMPESINOS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 254-9072
ALLISON LORANCA RDH
Dental Hygienist
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 254-9072
LA CLINICA DE LOS CAMPESINOS, INC
Pharmacy (Clinic Pharmacy)
2501 MAIN ST
STEVENS POINT, WI 54481
Portage County (920) 647-8126

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 Sumeet Goel's NPI number?

The NPI number for Sumeet Goel is 1073824470. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Sumeet Goel located?

Sumeet Goel practices at 2501 Main St, Stevens Point, WI 54481. The listed phone number is (800) 942-5330.

What is Sumeet Goel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sumeet Goel enrolled in Medicare?

Yes. Sumeet Goel 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 Sumeet Goel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Security Health Plan list Sumeet Goel 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 Sumeet Goel was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.