DR. MARK GOODENOUGH DDS, MD
NPI 1154858033
Oral & Maxillofacial Surgery in Staten Island, NY
About Dr. Mark Goodenough Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK GOODENOUGH DDS, MD (NPI 1154858033) is an individual oral & maxillofacial surgery provider in Staten Island, New York, licensed in New York (063143) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Dr. Mark Goodenough Dds, 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Goodenough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10305
- Reassigned Medicare billing, New York enrollment
- 7 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maimonides Medical Center
Acute Care Hospitals · Brooklyn, NYGeisinger Medical Center
Acute Care Hospitals · Danville, PAOther Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Mark Goodenough's NPI number?
The NPI number for Mark Goodenough is 1154858033. It was assigned to this individual provider in the NPPES registry on May 22, 2017.
Where is Mark Goodenough located?
Mark Goodenough practices at 256C Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-1251.
What is Mark Goodenough's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Mark Goodenough enrolled in Medicare?
Yes. Mark Goodenough 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 organization bills Medicare for Mark Goodenough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Goodenough reassigns Medicare benefits to Staten Island Oral & Maxillofacial Surgery (Staten Island, NY). The 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 Mark Goodenough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Goodenough accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Mark Goodenough 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 Mark Goodenough affiliated with any hospitals?
According to CMS data, Mark Goodenough is affiliated with Maimonides Medical Center and Geisinger Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Goodenough was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mark Goodenough, DDS, MD · NPI 1154858033
Oral & Maxillofacial Surgery physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1154858033 (Entity type: Individual)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 063143 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 256C MASON AVE, Staten Island, NY 10305-3408
- **Phone:** (718) 226-1251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Staten Island Oral & Maxillofacial Surgery (NPI 1316217763, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Dental Medicine, class of 2017
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154858033) · Data from the CMS NPPES public registry.