DR. EDWARD R GOULD MD
NPI 1417191453
Internal Medicine - Nephrology in Nashville, TN

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward R Gould Md NPPES

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

DR. EDWARD R GOULD MD (NPI 1417191453) is an individual nephrology provider in Nashville, Tennessee, licensed in Tennessee (MD48442) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417191453
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EDWARD R GOULDCredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 21, 2009
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1417191453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TN · MD48442
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 48442 (TN)
3601 TVC, Nashville, TN 37232

Accepted 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. Edward R Gould 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 ID8527370170
PECOS Enrollment IDI20150709002945
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
244 services98 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.
148 services105 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
73 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services60 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
43 services11 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
37 services16 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Surgery
3601 TVC
NASHVILLE, TN 37232
Anesthesiology
3601 TVC
NASHVILLE, TN 37232

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 Edward Gould's NPI number?

The NPI number for Edward Gould is 1417191453. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Edward Gould located?

Edward Gould practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Edward Gould's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Edward Gould enrolled in Medicare?

Yes. Edward Gould 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 Edward Gould accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Edward Gould 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 Edward Gould affiliated with any hospitals?

According to CMS data, Edward Gould is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Gould was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.