MARK CLIFFORD GOODWIN MD
NPI 1396713434
Family Medicine in Burney, CA
About Mark Clifford Goodwin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK CLIFFORD GOODWIN MD (NPI 1396713434) is an individual family medicine provider in Burney, California, licensed in California (A70773) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Clifford Goodwin 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95401
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURNEY, CA 96013
BURNEY, CA 96013
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 Goodwin's NPI number?
The NPI number for Mark Goodwin is 1396713434. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Mark Goodwin located?
Mark Goodwin practices at 36977 Park Ave, Burney, CA 96013. The listed phone number is (530) 335-3651.
What is Mark Goodwin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Goodwin enrolled in Medicare?
Yes. Mark 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.
Which organization bills Medicare for Mark Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Goodwin reassigns Medicare benefits to Sonoma County Indian Health Project, Inc (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Goodwin was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mark Clifford Goodwin, MD · NPI 1396713434
Family Medicine physician in Burney, California. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1396713434 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A70773 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 36977 PARK AVE, Burney, CA 96013-4067
- **Phone:** (530) 335-3651 · **Fax:** (530) 335-3632
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sonoma County Indian Health Project, Inc (NPI 1265457980, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1998
## Record status
- **NPPES last updated:** July 1, 2013
- **Other identifiers:** Medicare UPIN H54234
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Source: [NPI Profile](https://npiprofile.com/npi/1396713434) · Data from the CMS NPPES public registry.