DAVID A GOODMAN M.D.
NPI 1093714024
Surgery in Fort Defiance, AZ
About David A Goodman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID A GOODMAN M.D. (NPI 1093714024) is an individual surgery provider in Fort Defiance, Arizona, licensed in North Carolina (9900510) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
David A Goodman 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Goodman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Raeford, NC 28376
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Saipan, MP 96950
- Reassigned Medicare billing, Northern Mariana Islands enrollment
- 200 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 David Goodman's NPI number?
The NPI number for David Goodman is 1093714024. It was assigned to this individual provider in the NPPES registry on July 20, 2005.
Where is David Goodman located?
David Goodman practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is David Goodman's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is David Goodman enrolled in Medicare?
Yes. David 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.
Which organizations bill Medicare for David Goodman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Goodman reassigns Medicare benefits to 3 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Cumberland County Hospital System Inc (Raeford, NC) and Commonwealth Healthcare Corporation (Saipan, MP). Each 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 David Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Goodman accept?
Health plans from Blue Cross Blue Shield of Arizona list David Goodman 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 David Goodman was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# David A Goodman, M.D. · NPI 1093714024
Surgery physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1093714024 (Entity type: Individual)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 9900510 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504-0649
- **Phone:** (928) 729-8000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Cumberland County Hospital System Inc (NPI 1447255328, Raeford, NC); Commonwealth Healthcare Corporation (NPI 1285858290, Saipan, MP) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** October 1, 2025
- **Other identifiers:** Medicaid 891233X (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1093714024) · Data from the CMS NPPES public registry.