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DR. JEREMY LR GOODWIN MS, MD
NPI 1366547614
Psychiatry & Neurology - Neurology in Petaluma, CA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
1456 PROFESSIONAL DR STE 402, PETALUMA, CA 94954(707) 938-7951(707) 938-7260 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeremy Lr Goodwin Ms, Md NPPES

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

DR. JEREMY LR GOODWIN MS, MD (NPI 1366547614) is an individual neurology provider in Petaluma, California, licensed in California (G76323) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1991).

NPPES Registry Identity

NPI1366547614
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JEREMY LR GOODWINCredential: MS, MD
Location Address1456 PROFESSIONAL DR STE 402Petaluma, CA 94954-6639
Mailing Address1456 Professional Dr Ste 402Petaluma, CA 94954-6639 · (707) 938-7951 · Fax (707) 938-7260
Phone(707) 938-7951
Fax(707) 938-7260
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1991
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1366547614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · G76323
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License G76323 (CA)
1456 PROFESSIONAL DR STE 402, Petaluma, CA 94954
Open in Google Maps ↗

Other Identifiers 2

OtherR113031OR · Noridan
Other138326OR · Omap

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

Dr. Jeremy Lr Goodwin Ms, 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 ID4880662691
PECOS Enrollment IDI20090928000295
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
784 services134 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
185 services94 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.
83 services83 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.
36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
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 2

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

SONOMA PAIN MANAGEMENT, INC
Psychiatry & Neurology (Neurology)
1456 PROFESSIONAL DR STE 402
PETALUMA, CA 94954
Sonoma County (707) 938-7951
DR. AIMEE C CHAGNON MD
Psychiatry & Neurology (Pain Medicine)
1456 PROFESSIONAL DR STE 402
PETALUMA, CA 94954
Sonoma County (707) 938-7951

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 Jeremy Goodwin's NPI number?

The NPI number for Jeremy Goodwin is 1366547614. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Jeremy Goodwin located?

Jeremy Goodwin practices at 1456 Professional Dr Ste 402, Petaluma, CA 94954. The listed phone number is (707) 938-7951.

What is Jeremy Goodwin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jeremy Goodwin enrolled in Medicare?

Yes. Jeremy Goodwin 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.

When was this NPI record last updated?

The NPPES record for Jeremy Goodwin was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.