DR. JAN JACK GOUDA M.D.
NPI 1427163906
Neurological Surgery in Dayton, OH

Active since August 21, 2006PECOS Enrolled
1 ELIZABETH PL, SUITE # D, DAYTON, OH 45417(937) 424-2520(937) 222-9665 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jan Jack Gouda M.d. NPPES

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

DR. JAN JACK GOUDA M.D. (NPI 1427163906) is an individual neurological surgery provider in Dayton, Ohio, licensed in Ohio (35-072594) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427163906
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JAN JACK GOUDACredential: M.D.
Location Address1 ELIZABETH PL, SUITE # DDayton, OH 45417-3445
Mailing Address1 Elizabeth Pl, Suite # DDayton, OH 45417-3445 · (937) 424-2520 · Fax (937) 222-9665
Fax(937) 222-9665
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1427163906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OH · 35-072594
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1 ELIZABETH PL, Dayton, OH 45417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jan Jack Gouda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45417 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%629 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%198 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%161 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 18% · 122 patients
26%122 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%198 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.

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.

Internal Medicine (Hematology & Oncology)
1 ELIZABETH PL, 10 TH FLOOR SUITE 10B
DAYTON, OH 45417
Obstetrics & Gynecology
1 ELIZABETH PL, 5TH FLR, STE. M
DAYTON, OH 45417
Pharmacy (Community/Retail Pharmacy)
1 ELIZABETH PL, SUITE 150
DAYTON, OH 45417
Clinic/Center (Urgent Care)
1 ELIZABETH PL, SUITE 100
DAYTON, OH 45417
Surgery
1 ELIZABETH PL, SUITE 10A
DAYTON, OH 45417
Psychiatry & Neurology (Psychiatry)
1 ELIZABETH PL, SUITE G3
DAYTON, OH 45417
General Practice
1 ELIZABETH PL, STE 280
DAYTON, OH 45417
Physical Medicine & Rehabilitation
1 ELIZABETH PL
DAYTON, OH 45417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427163906, enumerated as an "individual" on August 21, 2006.

The provider is located at 1 ELIZABETH PL SUITE # D DAYTON, OH 45417 and the phone number is (937) 424-2520.

Neurological Surgery with taxonomy code 207T00000X.