JOHN A. GOSS MD
NPI 1225118573
Transplant Surgery in Houston, TX

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6620 MAIN ST STE 1450, HOUSTON, TX 77030(713) 798-8100(713) 798-4530 Get Directions Write a Review

NPPES record last updated: May 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2023, May 2, 2023 (2 updates tracked since 2023).

About John A. Goss Md NPPES

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

JOHN A. GOSS MD (NPI 1225118573) is an individual transplant surgery provider in Houston, Texas, licensed in Texas (K5969) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1225118573
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameJOHN A. GOSSCredential: MD
Location Address6620 MAIN ST STE 1450Houston, TX 77030-2346
Mailing Address6620 Main St Ste 1450Houston, TX 77030-2346 · (713) 798-8100 · Fax (713) 798-4530
Fax(713) 798-4530
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1988
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 27, 20232 updates tracked since enumeration
NPPES CertifiedMay 27, 2023
NPI 1225118573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in TX · K5969
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License K5969 (TX)
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License K5969 (TX)
6620 MAIN ST STE 1450, Houston, TX 77030

Secondary Practice Location 1

Location 16701 Fannin St Fl 11Houston, TX 77030-2608 · Phone (832) 822-3540

Other Identifiers 5

Medicaid116597901TX
Medicaid116597903TX
Other020049095Rr Medicare
Other116597904TX · Cshcn
Medicaid1672009LA

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

John A. Goss 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 ID7810184652
PECOS Enrollment IDI20101207000132
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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
321 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
123 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services31 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.
35 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
8 suppliers17 claims87 services$6.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims31 services$1.13 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
72 suppliers601 claims86,806 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers67 claims26,025 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
24 suppliers162 claims19,200 services$0.19 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers54 claims4,710 services$2.79 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 15

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

Internal Medicine (Gastroenterology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Family)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Internal Medicine (Transplant Hepatology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Internal Medicine (Transplant Hepatology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Internal Medicine (Hepatology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030

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 John Goss's NPI number?

The NPI number for John Goss is 1225118573. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Goss located?

John Goss practices at 6620 Main St Ste 1450, Houston, TX 77030. The listed phone number is (713) 798-8100.

What is John Goss's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is John Goss enrolled in Medicare?

Yes. John Goss 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 John Goss accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list John Goss 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 John Goss affiliated with any hospitals?

According to CMS data, John Goss is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, St Luke's The Woodlands Hospital, St Luke's Sugar Land Hospital and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for John Goss was last updated on May 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.