DR. EDWARD J. GOLDBERG M.D.
NPI 1407835176
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Chicago, IL
NPI Status: Active since January 11, 2006
Contact Information
1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Phone: (312) 243-4244
Fax: (312) 942-1517
- Individual
- Male
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- PECOS Enrolled
- Medicare Quality Reporting
About EDWARD GOLDBERG
This page provides the complete NPI Profile along with additional information for Edward Goldberg, a provider established in Chicago, Illinois with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1407835176 assigned on January 2006. The practitioner's primary taxonomy code is 207XS0117X with license number 036070258 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1407835176
- Provider Name
- DR. EDWARD J. GOLDBERG M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1611 W HARRISON ST STE 400 CHICAGO, IL 60612
- Location Phone
- (312) 243-4244
- Location Fax
- (312) 942-1517
- Mailing Address
- 1 WESTBROOK CORPORATE CTR #240 WESTCHESTER, IL 60154
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2006
- Last Update Date
- 09-18-2018
- Code Navigator
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
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036070258
- License State
- IL
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207073 | OTHER (01) | IL | MEDICARE PTAN LOCALITY 15 |
| 1633878 | OTHER (01) | IL | BCBS GROUP ID# |
| P00150808 | OTHER (01) | IL | RR MEDICARE ID# |
| 4122886 | OTHER (01) | IL | AETNA ID# |
| 036070258 3 | MEDICAID (05) | IL | |
| 207067 | OTHER (01) | IL | MEDICARE PTAN LOCALITY 16 |
| DA4902 | OTHER (01) | IL | RR MEDICARE PTAN# |
Medicare Participation & PECOS Enrollment Status
Edward Goldberg 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
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fusion of additional segment of spine
Fusion of spine in lower back
Laminectomy or laminotomy (partial removal of spine bones)
Mri scan of lower spinal canal without contrast
New patient office or other outpatient visit, 45-59 minutes
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back of 1 spine bone in neck
Placement of stabilizing device to back, 3-6 spine bone segments
Spinal fusion
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of upper spine, 4-5 views
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.
This service was performed 133 times for 87 patientsThis 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.
This service was performed 48 times for 48 patientsFusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
This service was performed 14 times for 12 patientsFusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
This service was performed 30 times for 30 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 45 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 22 times for 21 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 49 times for 49 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 34 times for 34 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 45 times for 26 patientsThis procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
This service was performed 17 times for 17 patientsThis procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
This service was performed 14 times for 14 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 36 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 58 times for 36 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 130 times for 87 patientsAn X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
This service was performed 14 times for 13 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for DR. EDWARD J. GOLDBERG M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407835176, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407835176, enumerated as an "individual" on January 11, 2006.
The provider is located at 1611 W HARRISON ST STE 400 CHICAGO, IL 60612 and the phone number is (312) 243-4244.
Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.