JACK D GOLDSTEIN M.D.1208
NPI 1245233261
Orthopaedic Surgery in E Providence, RI

Q: What is Jack Goldstein's NPI number?

The NPI number for Jack Goldstein is 1245233261. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Jack Goldstein's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Goldstein was last updated on November 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2005PECOS Enrolled

400 MASSASOIT AVE, SUITE 201, E PROVIDENCE, RI 02914(401) 919-5222(401) 919-5227 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jack D Goldstein M.d.1208 NPPES

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

JACK D GOLDSTEIN M.D.1208 (NPI 1245233261) is an individual orthopaedic surgery provider in E Providence, Rhode Island, licensed in Rhode Island (RI8073) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245233261

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJACK D GOLDSTEINCredential: M.D.1208

Location Address400 MASSASOIT AVE, SUITE 201E Providence, RI 02914-2012

Mailing Address400 Massasoit Ave, Suite 201E Providence, RI 02914-2012 · (401) 919-5222 · Fax (401) 919-5227

Phone(401) 919-5222

Fax(401) 919-5227

Sole ProprietorNo

Enumeration DateMay 23, 2005

Last NPPES UpdateNovember 2, 2009

✔ NPI 1245233261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in RI · RI8073

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

400 MASSASOIT AVE, E Providence, RI 02914

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Other Identifiers 12

Other0000022384RI · Ri Blue Cross Blue Shield

Other0900689PR · United Healthcare

Other15131RI · Neighborhood Health

Other200042974RI · Railroad Medicare

Other2797369003RI · Cigna

Medicare UPINE38384RI

Medicaid9020116RI

Other2432493RI · Aetna Us Healthcare

Other202113RI · Ri Blue Chip

Other61829RI · Harvard Pilgrim Health Ca

Medicare PIN209022384RI

Other779577RI · Tufts

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack D Goldstein M.d.1208 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,217 services16 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.

228 services100 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

164 services85 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

74 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services54 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

65 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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