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MICHAEL JOSEPH GOULD
NPI 1205182136
Family Medicine in Fairmount City, PA

Active since July 30, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
82 TOWN RUN RD, FAIRMOUNT CITY, PA 16224(814) 275-1600 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2022, Jan 13, 2021 (2 updates tracked since 2021).

About Michael Joseph Gould NPPES

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

MICHAEL JOSEPH GOULD (NPI 1205182136) is an individual family medicine provider in Fairmount City, Pennsylvania, licensed in Pennsylvania (OT014570) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1205182136
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL JOSEPH GOULD
Location Address82 TOWN RUN RDFairmount City, PA 16224-1502
Mailing Address310 Greencrest DrShippenville, PA 16254-4208
Phone(814) 275-1600
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012
Enumeration DateJuly 30, 2012
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1205182136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT014570
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
82 TOWN RUN RD, Fairmount City, PA 16224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Michael Joseph Gould 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 ID1759505670
PECOS Enrollment IDI20140617000211
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.

Hospital Affiliations CMS Care Compare

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

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

JAYME L SHAFFER
Nurse Practitioner (Family)
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1600
ABIGAIL KATHLEEN SELFRIDGE
Physician Assistant
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (833) 684-1904
BUTLER MEDICAL PROVIDERS
Clinic/Center (Rural Health)
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1600
MARCY L MONREAN PA-C
Physician Assistant
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1600
GEORGI ANNE GRAFTON PA-C
Physician Assistant
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1600
HEALTH SERVICES OF CLARION INC
Non-Pharmacy Dispensing Site
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1610
CRYSTAL MEIER CRNP
Nurse Practitioner (Family)
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (814) 275-1600
CAILIN NICOLE BYERLY
Physician Assistant (Medical)
82 TOWN RUN RD
FAIRMOUNT CITY, PA 16224
Clarion County (833) 684-1904

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 Michael Gould's NPI number?

The NPI number for Michael Gould is 1205182136. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Michael Gould located?

Michael Gould practices at 82 Town Run Rd, Fairmount City, PA 16224. The listed phone number is (814) 275-1600.

What is Michael Gould's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Gould enrolled in Medicare?

Yes. Michael Gould 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 Michael Gould accept?

Health plans from CareSource list Michael Gould 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 Michael Gould affiliated with any hospitals?

According to CMS data, Michael Gould is affiliated with Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gould was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.