DR. GRADY G. GOODWIN M.D.
NPI 1407964158
Internal Medicine in Dallas, TX

Q: What is Grady Goodwin's NPI number?

The NPI number for Grady Goodwin is 1407964158. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Grady Goodwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Grady Goodwin was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment

3500 GASTON AVE, 4 ROBERTS, DALLAS, TX 75246(214) 820-3000(214) 820-3022 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Grady G. Goodwin M.d. NPPES

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

DR. GRADY G. GOODWIN M.D. (NPI 1407964158) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (M4160) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Glen Rose Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2003).

NPPES Registry Identity

NPI1407964158

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GRADY G. GOODWINCredential: M.D.

Location Address3500 GASTON AVE, 4 ROBERTSDallas, TX 75246-2017

Mailing Address3500 Gaston Ave, 4 RobertsDallas, TX 75246-2017 · (214) 820-3000 · Fax (214) 820-3022

Phone(214) 820-3000

Fax(214) 820-3022

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2003

Enumeration DateAugust 25, 2006

Last NPPES UpdateJuly 26, 2012

✔ NPI 1407964158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · M4160

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License M4106 (TX)

3500 GASTON AVE, Dallas, TX 75246

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Other Identifiers 8

Medicaid184835002TX

Medicare PINTXB132522TX

Other8G0895TX · Bcbs

Other8CZ855TX · Bcbstx

Medicaid184835001TX

Medicare PINP01048104TX

Medicare PIN8G8223TX

Medicare UPINI66330TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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. Grady G. Goodwin M.d. 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 ID2961403803

PECOS Enrollment IDI20070120000029

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 11

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.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

95 services63 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

88 services45 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

87 services39 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.

70 services38 patients

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.

63 services29 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

46 services29 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

35 services19 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

35 services18 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

30 services18 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.

14 services14 patients

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450451

Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%58 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$37.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers19 claims21 services$79.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. JAIME ALBERT CAMPBELL M.D., M.S.

Pathology (Anatomic Pathology & Clinical Pathology)

3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246

Dallas County (214) 820-3772

MICHELLE CAIN AGACNP

Nurse Practitioner (Acute Care)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2050

DR. MATTHEW PAUL CLEMONS MD

Radiology (Diagnostic Radiology)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2361

ROBERT COLE FORE RN

Registered Nurse

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-0111

JAMES PIERRE D'ETIENNE MD

Emergency Medicine

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2505

DR. JO ANN F. TRAVIS M.D.

Anesthesiology

3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246

Dallas County (214) 549-4835

ASIF ZIA KHATTAK MD

Pediatrics (Neonatal-Perinatal Medicine)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-7604

FATIMA KHAN

Student in an Organized Health Care Education/Training Program

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (844) 279-3627

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 Grady Goodwin's NPI number?

The NPI number for Grady Goodwin is 1407964158. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Grady Goodwin located?

Grady Goodwin practices at 3500 Gaston Ave 4 Roberts, Dallas, TX 75246. The listed phone number is (214) 820-3000.

What is Grady Goodwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grady Goodwin enrolled in Medicare?

Yes. Grady 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.

What insurance does Grady Goodwin accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Grady Goodwin 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.

Is Grady Goodwin affiliated with any hospitals?

According to CMS data, Grady Goodwin is affiliated with Glen Rose Medical Center.

When was this NPI record last updated?

The NPPES record for Grady Goodwin was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.