MR. DAVID ALAN GORAN MD
NPI 1265544969
Ophthalmology in Muskegon, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1150 E SHERMAN BLVD, STE 1500, MUSKEGON, MI 49444(231) 737-9378(231) 737-1023 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Alan Goran Md NPPES

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

MR. DAVID ALAN GORAN MD (NPI 1265544969) is an individual ophthalmology provider in Muskegon, Michigan, licensed in Michigan (4301079878) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1265544969
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. DAVID ALAN GORANCredential: MD
Location Address1150 E SHERMAN BLVD, STE 1500Muskegon, MI 49444-1871
Mailing Address1150 E Sherman Blvd, Ste 1500Muskegon, MI 49444-1871 · (231) 737-9378 · Fax (231) 737-1023
Fax(231) 737-1023
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1265544969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301079878
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1150 E SHERMAN BLVD, Muskegon, MI 49444

Other Identifiers 3

Medicaid0004960267MI
Medicare PINP36810001MI
Medicare UPINI6277MI

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

Mr. David Alan Goran 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 ID5294732293
PECOS Enrollment IDI20061106000280
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 10

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.

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.
175 services119 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
114 services114 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.
101 services63 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
70 services45 patients
Insertion of probe into nasal tear duct 68810
The insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.
69 services58 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
60 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%153 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%153 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%235 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
37%3,666 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%179 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
2%90 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%500 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%354 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%500 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
1150 E SHERMAN BLVD, SUITE 1125
MUSKEGON, MI 49444
Dentist (Oral and Maxillofacial Surgery)
1150 E SHERMAN BLVD, SUITE 1600
MUSKEGON, MI 49444
Dentist (Oral and Maxillofacial Surgery)
1150 E SHERMAN BLVD, SUITE 1600
MUSKEGON, MI 49444
Dentist (Oral and Maxillofacial Surgery)
1150 E SHERMAN BLVD, SUITE 1600
MUSKEGON, MI 49444
Psychologist
1150 E SHERMAN BLVD
MUSKEGON, MI 49444
Psychologist
1150 E SHERMAN BLVD
MUSKEGON, MI 49444
Psychologist
1150 E SHERMAN BLVD
MUSKEGON, MI 49444
Social Worker
1150 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Goran's NPI number?

The NPI number for David Goran is 1265544969. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is David Goran located?

David Goran practices at 1150 E Sherman Blvd Ste 1500, Muskegon, MI 49444. The listed phone number is (231) 737-9378.

What is David Goran's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Goran enrolled in Medicare?

Yes. David Goran 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 Goran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 1 other insurer list David Goran 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.

When was this NPI record last updated?

The NPPES record for David Goran was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.