DR. SCOTT T GOODRICH M.D.
NPI 1083748966
Obstetrics & Gynecology - Gynecologic Oncology in Fort Wayne, IN

Q: What is Scott Goodrich's NPI number?

The NPI number for Scott Goodrich is 1083748966. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Scott Goodrich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Scott Goodrich was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment

2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Oct 7, 2024, Oct 26, 2023 and 5 more (8 updates tracked since 2017).

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About Dr. Scott T Goodrich M.d. NPPES

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

DR. SCOTT T GOODRICH M.D. (NPI 1083748966) is an individual gynecologic oncology provider in Fort Wayne, Indiana, licensed in Indiana (01078092A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083748966

Entity TypeIndividualMale

Primary Taxonomy207VX0201X

Provider Legal NameDR. SCOTT T GOODRICHCredential: M.D.

Location Address2514 E DUPONT RD STE 100Fort Wayne, IN 46825-1619

Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (239) 236-2775

Phone(260) 484-8830

Fax(260) 483-1911

Sole ProprietorYes

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2003

Enumeration DateMarch 15, 2007

Last NPPES UpdateDecember 4, 20248 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1083748966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in IN · 01078092A

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01078092A (IN)

2514 E DUPONT RD STE 100, Fort Wayne, IN 46825

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Secondary Practice Locations 3

Location 1315 W Old Key Dr Ste 140Peru, IN 46970-9058 · Phone (260) 436-0800

Location 21100 Mercer AveDecatur, IN 46733-2303 · Phone (260) 436-0800

Location 3737 N Detroit StWarsaw, IN 46580-2985 · Phone (260) 436-0800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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. Scott T Goodrich M.d. 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 ID6002082302

PECOS Enrollment IDI20170516000848, I20240517002130

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 3

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.

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.

135 services90 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number150133

Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County

Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150150

Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County

Emergency services Birthing friendly

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 17

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

MICHELLE BOCK

Nurse Practitioner