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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KEVIN MATTHEW GOOCH MD
NPI 1164415576
Internal Medicine in Whitesburg, KY

Active since August 31, 2005PECOS Enrolled
214 HOSPITAL RD, WHITESBURG, KY 41858(606) 633-3631(606) 633-3204 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Matthew Gooch Md NPPES

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

KEVIN MATTHEW GOOCH MD (NPI 1164415576) is an individual internal medicine provider in Whitesburg, Kentucky, licensed in Kentucky (33188) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of University Of Kentucky College Of Medicine (1992).

NPPES Registry Identity

NPI1164415576
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN MATTHEW GOOCHCredential: MD
Location Address214 HOSPITAL RDWhitesburg, KY 41858-7627
Mailing Address214 Hospital RdWhitesburg, KY 41858-7627 · (606) 633-3631 · Fax (606) 633-3204
Phone(606) 633-3631
Fax(606) 633-3204
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1992
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164415576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 33188
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.

214 HOSPITAL RD, Whitesburg, KY 41858
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Other Identifiers 1

Medicaid64331887KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Kevin Matthew Gooch 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 ID7214076934
PECOS Enrollment IDI20091209000178, I20201202000821
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 3

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
45 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
7 suppliers20 claims43 services$6.16 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$25.98 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 20

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

DR. WILLIAM G WARD M.D.
Surgery
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3526
WHITESBURG WOMEN'S CENTER, LLC
Obstetrics & Gynecology
214 HOSPITAL RD, SUITE D
WHITESBURG, KY 41858
Letcher County (606) 633-5553
JOHN L. PELLEGRINI M.D.
Surgery
214 HOSPITAL RD, SUITE 1
WHITESBURG, KY 41858
Letcher County (606) 633-2255
APPALACHIAN REGIONAL HEALTHCARE, INC.
Clinic/Center (Multi-Specialty)
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631
APPALACHIAN REGIONAL HEALTHCARE, INC.
Clinic/Center (Rural Health)
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631
SAMANTHA OCTAVIA EVERSOLE DO
Internal Medicine
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-4414
TIN CHANH TRAN M.D.
Surgery
214 HOSPITAL RD, SUITE A
WHITESBURG, KY 41858
Letcher County (606) 633-2255
ABUBAKAR H TIDAL MD
Internal Medicine
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631

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 Kevin Gooch's NPI number?

The NPI number for Kevin Gooch is 1164415576. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Kevin Gooch located?

Kevin Gooch practices at 214 Hospital Rd, Whitesburg, KY 41858. The listed phone number is (606) 633-3631.

What is Kevin Gooch's specialty?

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

Is Kevin Gooch enrolled in Medicare?

Yes. Kevin Gooch 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 Kevin Gooch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kevin Gooch 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 Kevin Gooch affiliated with any hospitals?

According to CMS data, Kevin Gooch is affiliated with Starr Regional Medical Center Athens and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Gooch was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.