MR. JAMES A GOUDY II MD
NPI 1154301471
Internal Medicine in Galion, OH

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
270 PORTLAND WAY S, GALION, OH 44833(419) 468-8323(419) 462-5567 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James A Goudy Ii Md NPPES

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

MR. JAMES A GOUDY II MD (NPI 1154301471) is an individual internal medicine provider in Galion, Ohio, licensed in Ohio (35057542G) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Avita Ontario, and is a graduate of Ohio State University College Of Medicine (1987).

NPPES Registry Identity

NPI1154301471
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JAMES A GOUDY IICredential: MD
Location Address270 PORTLAND WAY SGalion, OH 44833
Mailing Address700 N Columbus StCrestline, OH 44827-1455 · (419) 468-0511 · Fax (419) 468-8579
Fax(419) 462-5567
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1987
Enumeration DateJanuary 20, 2006
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1154301471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35057542G
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

270 PORTLAND WAY S, Galion, OH 44833

Other Identifiers 2

Other000000371100OH · Anthem Bcbs
Medicaid0747124OH

Accepted 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

Mr. James A Goudy Ii Md 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 ID7214820711
PECOS Enrollment IDI20040206000975
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 6

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.

Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
32 services32 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
27 services26 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
24 services23 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
19 services19 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Referred Medical Equipment & Supplies CMS DME claims 2

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
9 suppliers44 claims84 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims22 services$1.19 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 7

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

Clinic/Center (Rural Health)
270 PORTLAND WAY S
GALION, OH 44833
Internal Medicine (Endocrinology, Diabetes & Metabolism)
270 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
270 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner
270 PORTLAND WAY S
GALION, OH 44833
Psychiatry & Neurology (Neurology)
270 PORTLAND WAY S
GALION, OH 44833
Pediatrics
270 PORTLAND WAY S
GALION, OH 44833
Pediatrics
270 PORTLAND WAY S
GALION, OH 44833

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 James Goudy's NPI number?

The NPI number for James Goudy is 1154301471. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is James Goudy located?

James Goudy practices at 270 Portland Way S, Galion, OH 44833. The listed phone number is (419) 468-8323.

What is James Goudy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Goudy enrolled in Medicare?

Yes. James Goudy 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 James Goudy accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list James Goudy 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 James Goudy affiliated with any hospitals?

According to CMS data, James Goudy is affiliated with Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for James Goudy was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.