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DR. THOMAS GOFORTH D.O.
NPI 1457411571
Family Medicine in New York, NY

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
215 E 95TH ST, NEW YORK, NY 10128(212) 996-8000(212) 348-4376 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2019, Sep 12, 2019, Nov 9, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Thomas Goforth D.o. NPPES

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

DR. THOMAS GOFORTH D.O. (NPI 1457411571) is an individual family medicine provider in New York, New York, licensed in New York (238613) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).

NPPES Registry Identity

NPI1457411571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS GOFORTHCredential: D.O.
Location Address215 E 95TH STNew York, NY 10128-4077
Mailing Address55 Water St, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(212) 996-8000
Fax(212) 348-4376
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 1, 20194 updates tracked since enumeration
✔ NPI 1457411571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 238613
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

215 E 95TH ST, New York, NY 10128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. Thomas Goforth D.o. 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 ID2860570645
PECOS Enrollment IDI20240723003781
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 5

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.

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.
180 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
117 services105 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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. MELINDA HUANG MD
Obstetrics & Gynecology (Gynecologic Oncology)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
DR. IAN M YUDELMAN
Internal Medicine (Hematology & Oncology)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
DANIELLE DESPRES DPM
Podiatrist (Foot & Ankle Surgery)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
SCOTT KERSTETTER D.O.
Family Medicine
215 E 95TH ST, 2ND FL
NEW YORK, NY 10128
New York County (212) 996-8000
STEVEN D MEED MD
Internal Medicine (Rheumatology)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
SHARON B DANOFF LCSW
Social Worker (Clinical)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 460-7800
DR. JUSTYNA I POGODZINSKA
Internal Medicine
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
NEETU OLIAPURAM JOSE M.D.
Family Medicine
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000

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 Thomas Goforth's NPI number?

The NPI number for Thomas Goforth is 1457411571. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Thomas Goforth located?

Thomas Goforth practices at 215 E 95th St, New York, NY 10128. The listed phone number is (212) 996-8000.

What is Thomas Goforth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Goforth enrolled in Medicare?

Yes. Thomas Goforth 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 Thomas Goforth accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Thomas Goforth 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 Thomas Goforth affiliated with any hospitals?

According to CMS data, Thomas Goforth is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Thomas Goforth was last updated on October 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.