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DR. DIMITRY B GOUFMAN M.D.
NPI 1104824101
Otolaryngology in Orange, CA

Active since July 13, 2005PECOS Enrolled
0/100
CMS Quality Rating
302 WEST LAVETA AVE., SUITE 201, ORANGE, CA 92866(714) 835-4404(714) 532-6563 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dimitry B Goufman M.d. NPPES

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

DR. DIMITRY B GOUFMAN M.D. (NPI 1104824101) is an individual otolaryngology provider in Orange, California, licensed in California (C52758) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1995).

NPPES Registry Identity

NPI1104824101
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DIMITRY B GOUFMANCredential: M.D.
Location Address302 WEST LAVETA AVE., SUITE 201Orange, CA 92866
Mailing Address302 West Laveta Ave., Suite 201Orange, CA 92866 · (714) 835-4404 · Fax (714) 532-6563
Phone(714) 835-4404
Fax(714) 532-6563
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1995
Enumeration DateJuly 13, 2005
Last NPPES UpdateNovember 7, 2008
✔ NPI 1104824101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · C52758
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
302 WEST LAVETA AVE., Orange, CA 92866
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Other Identifiers 1

Medicare PINW21748CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dimitry B Goufman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355425711
PECOS Enrollment IDI20080222000488
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 9

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.
761 services349 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
371 services220 patients
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.
138 services138 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
97 services85 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
97 services85 patients
Removal of foreign body in ear canal 69200
This procedure involves the careful extraction of an object that has become lodged in your ear canal. It is performed by a medical professional using specialized tools. The process is usually quick and painless, but may require local anesthesia depending on the situation.
70 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92866 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Dimitry Goufman's NPI number?

The NPI number for Dimitry Goufman is 1104824101. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Dimitry Goufman located?

Dimitry Goufman practices at 302 West Laveta Ave. Suite 201, Orange, CA 92866. The listed phone number is (714) 835-4404.

What is Dimitry Goufman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Dimitry Goufman enrolled in Medicare?

Yes. Dimitry Goufman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dimitry Goufman was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.