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ANDREA JO GOETHALS D.O.
NPI 1104956895
Surgery in Grand Blanc, MI

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439(810) 694-9700(810) 694-9940 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Jo Goethals D.o. NPPES

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

ANDREA JO GOETHALS D.O. (NPI 1104956895) is an individual surgery provider in Grand Blanc, Michigan, licensed in Michigan (5101015223) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Genesys Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1104956895
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameANDREA JO GOETHALSCredential: D.O.
Location Address8235 HOLLY RD, SUITE 1Grand Blanc, MI 48439-2441
Mailing Address8235 Holly Rd, Suite 1Grand Blanc, MI 48439-2441 · (810) 694-9700 · Fax (810) 694-9940
Phone(810) 694-9700
Fax(810) 694-9940
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2002
Enumeration DateMarch 6, 2007
Last NPPES UpdateApril 29, 2009
✔ NPI 1104956895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101015223
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8235 HOLLY RD, Grand Blanc, MI 48439
Open in Google Maps ↗

Other Identifiers 10

Other0N89830006MI · Blue Cross Medicare Advan
Other382626202MI · Aetna
Other0252511984MI · Blue Care Network
Medicaid114995665MI
Medicare PIN0N89830-006MI
Other01007313MI · Health Plus
Other01007313MI · Genesee Health Plan
Other6U10108MI · Health Alliance Plan
Other0252511984MI · Blue Cross
Other46149MI · Health Plan Of Michigan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Andrea Jo Goethals 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 ID244322659
PECOS Enrollment IDI20070815000251
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 7

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 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 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services24 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.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services12 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 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 5

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

ASCENSION MEDICAL GROUP-SURGICAL ASSOCIATES LLC
Surgery
8235 HOLLY RD
GRAND BLANC, MI 48439
Genesee County (810) 694-9700
SURGICAL ASSOCIATES, PLC
Surgery
8235 HOLLY RD, SUITE 1
GRAND BLANC, MI 48439
Genesee County (810) 694-9700
DR. DIANNE E GREGORY M.D.
Internal Medicine
8235 HOLLY RD, SUITE 1
GRAND BLANC, MI 48439
Genesee County (810) 694-9110
CARL G GUTEKUNST D.O.
Surgery
8235 HOLLY RD, SUITE 1
GRAND BLANC, MI 48439
Genesee County (810) 694-9700
CHILD AND ADULT MEDICINE OF GRAND BLANC
Pediatrics
8235 HOLLY RD, SUITE 1
GRAND BLANC, MI 48439
Genesee County (810) 694-9110

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 Andrea Goethals's NPI number?

The NPI number for Andrea Goethals is 1104956895. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Andrea Goethals located?

Andrea Goethals practices at 8235 Holly Rd Suite 1, Grand Blanc, MI 48439. The listed phone number is (810) 694-9700.

What is Andrea Goethals's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrea Goethals enrolled in Medicare?

Yes. Andrea Goethals 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 Andrea Goethals accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Andrea Goethals 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 Andrea Goethals affiliated with any hospitals?

According to CMS data, Andrea Goethals is affiliated with Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Goethals was last updated on April 29, 2009. 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.