DAVID THEODORE GOUDREAULT PA-C
NPI 1215668207
Physician Assistant - Medical in Springfield, MA

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3455 MAIN ST STE 5, SPRINGFIELD, MA 01107(413) 733-9600(413) 732-6534 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Theodore Goudreault Pa-c NPPES

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

DAVID THEODORE GOUDREAULT PA-C (NPI 1215668207) is an individual medical provider in Springfield, Massachusetts and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215668207
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID THEODORE GOUDREAULTCredential: PA-C
Location Address3455 MAIN ST STE 5Springfield, MA 01107-1142
Mailing Address3455 Main St Ste 5Springfield, MA 01107-1147 · (413) 733-9600 · Fax (413) 732-6534
Fax(413) 732-6534
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
NPI 1215668207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3455 MAIN ST STE 5, Springfield, MA 01107

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

David Theodore Goudreault Pa-c 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 ID8921484882
PECOS Enrollment IDI20220929001312
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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,804 services296 patients
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.
1,174 services876 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
501 services424 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
463 services369 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
245 services153 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
207 services184 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Dermatology (MOHS-Micrographic Surgery)
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107

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 David Goudreault's NPI number?

The NPI number for David Goudreault is 1215668207. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is David Goudreault located?

David Goudreault practices at 3455 Main St Ste 5, Springfield, MA 01107. The listed phone number is (413) 733-9600.

What is David Goudreault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Goudreault enrolled in Medicare?

Yes. David Goudreault 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 David Goudreault accept?

Health plans from Anthem Blue Cross and Blue Shield list David Goudreault 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 David Goudreault affiliated with any hospitals?

According to CMS data, David Goudreault is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for David Goudreault was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.