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MARK GOODRICH PAC
NPI 1356447882
Physician Assistant in Clinton, UT

Active since September 15, 2006PECOS Enrolled
1477 NORTH 2000 WEST, WESTSIDE MEDICAL, CLINTON, UT 84015(801) 774-8888(801) 825-8519 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Goodrich Pac NPPES

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

MARK GOODRICH PAC (NPI 1356447882) is an individual physician assistant in Clinton, Utah, licensed in Utah (2729721206) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356447882
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK GOODRICHCredential: PAC
Location Address1477 NORTH 2000 WEST, WESTSIDE MEDICALClinton, UT 84015
Mailing Address1477 North 2000 West, Westside MedicalClinton, UT 84015 · (801) 774-8888 · Fax (801) 825-8519
Phone(801) 774-8888
Fax(801) 825-8519
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 13, 2009
✔ NPI 1356447882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 2729721206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1477 NORTH 2000 WEST, Clinton, UT 84015
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Other Identifiers 2

Medicare ID-Type Unspecified005519612UT
Medicare UPINP45091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Goodrich Pac 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

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 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.
56 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84015 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 4

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

ELMO LEE TAYLOR PAC
Physician Assistant
1477 NORTH 2000 WEST, WESTSIDE MEDICAL
CLINTON, UT 84015
Davis County (801) 774-8888
WESTSIDE MEDICAL PC
Clinic/Center
1477 NORTH 2000 WEST
CLINTON, UT 84015
Davis County (801) 774-8888
SAMANTHA P BOSTROM MD
Pediatrics
1477 NORTH 2000 WEST, SUITE C
CLINTON, UT 84015
Davis County (801) 774-8888
RONALD GARY DRESCHER PAC
Physician Assistant
1477 NORTH 2000 WEST, WESTSIDE MEDICAL
CLINTON, UT 84015
Davis County (801) 774-8888

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 Mark Goodrich's NPI number?

The NPI number for Mark Goodrich is 1356447882. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mark Goodrich located?

Mark Goodrich practices at 1477 North 2000 West Westside Medical, Clinton, UT 84015. The listed phone number is (801) 774-8888.

What is Mark Goodrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Goodrich enrolled in Medicare?

Yes. Mark Goodrich is registered in the Medicare PECOS enrollment system.

What insurance does Mark Goodrich accept?

Health plans from Select Health list Mark Goodrich 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 Mark Goodrich was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.