DR. CLIFFORD DAVID GOLDMAN M.D.
NPI 1275656803
Psychiatry & Neurology - Psychiatry in Westfield, NJ

NPI Status: Active since April 09, 2007

Contact Information

577 WESTFIELD AVE
WESTFIELD, NJ
ZIP 07090
Phone: (908) 232-6566
Fax: (908) 232-6628

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychiatry & Neurology
Psychiatry
PECOS Enrolled
Opted-Out Medicare

About CLIFFORD GOLDMAN

This page provides the complete NPI Profile along with additional information for Clifford Goldman, a provider established in Westfield, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1275656803 assigned on April 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 52925 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1275656803
Provider Name: DR. CLIFFORD DAVID GOLDMAN M.D.
Gender: Male
Entity Type: Individual
Location Address: 577 WESTFIELD AVE WESTFIELD, NJ 07090
Location Phone: (908) 232-6566
Location Fax: (908) 232-6628
Mailing Address: 577 WESTFIELD AVE WESTFIELD, NJ 07090
Mailing Phone: (908) 232-6566
Mailing Fax: (908) 232-6628
Is Sole Proprietor?: No
Enumeration Date: 04-09-2007
Last Update Date: 07-08-2007
Code Navigator

A psychiatrist like Clifford Goldman are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Clifford Goldman opted out of Medicare effective on 11-08-2012 until 11-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychiatry & Neurology Psychiatry
Taxonomy Code: 2084P0800X
Type: Allopathic & Osteopathic Physicians
License No.: 52925
License State: NJ
Taxonomy Description: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Medicare Participation & PECOS Enrollment Status

Clifford Goldman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-08-2012
Opt-Out End Date: 11-08-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07090 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

Average New Patient Price $190.92
Minimum New Patient Price $63.84
Maximum New Patient Price $190.92

Average New Patient Copayment $47.73
Minimum New Patient Copayment $15.96
Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $79.09
Minimum Established Patient Price $20.97
Maximum Established Patient Price $155.92

Average Established Patient Copayment $19.77
Minimum Established Patient Copayment $5.24
Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	7	5	6	5	6	8	0	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	14	5	12	5	12	8	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 5 + 1 + 2 + 8 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1275656803 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

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