DR. DAVID DWIGHT GOLTRA JR. M.D.
NPI 1477640647
Radiology - Neuroradiology in Mt Pleasant, SC

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
78.91/100
CMS Quality Rating
582 LONE TREE DRIVE, 582 LONG POINT RD, MT PLEASANT, SC 29464(843) 352-0674(843) 971-8832 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Dwight Goltra Jr. M.d. NPPES

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

DR. DAVID DWIGHT GOLTRA JR. M.D. (NPI 1477640647) is an individual neuroradiology provider in Mt Pleasant, South Carolina, licensed in South Carolina (14764) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1477640647
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. DAVID DWIGHT GOLTRA JR.Credential: M.D.
Location Address582 LONE TREE DRIVE, 582 LONG POINT RDMt Pleasant, SC 29464
Mailing Address582 Lone Tree Drive, 582 Long Point RoadFlorence, SC 29501-0523 · (843) 352-0674 · Fax (843) 971-8832
Fax(843) 971-8832
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1985
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 15, 2007
NPI 1477640647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in SC · 14764
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
582 LONE TREE DRIVE, Mt Pleasant, SC 29464

Other Identifiers 3

Medicare ID-Type UnspecifiedA15601SC · Medicare Of Sc
Medicaid147647SC
Medicare UPINA15601SC

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. David Dwight Goltra Jr. 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 ID42299307
PECOS Enrollment IDI20040719001443
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 15

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.

Mri scan of lower spinal canal without contrast 72148
An 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.
108 services107 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
59 services32 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
47 services28 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
38 services27 patients
Ct scan of cranial cavity without contrast 70480
A CT scan of the cranial cavity without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed images of your head, specifically the brain area. This can help detect conditions like tumors, infections, or injuries. No dye (contrast) is used in this procedure.
35 services34 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
34 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

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.

78.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.45
Promoting Interoperability89
Improvement Activities40
Cost47.44

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%66 patients2/55-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.
38%3,101 patients2/55-star benchmark: 97%
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…
70%3,101 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%3,101 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%3,101 patients
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.

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 David Goltra's NPI number?

The NPI number for David Goltra is 1477640647. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is David Goltra located?

David Goltra practices at 582 Lone Tree Drive 582 Long Point Rd, Mt Pleasant, SC 29464. The listed phone number is (843) 352-0674.

What is David Goltra's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is David Goltra enrolled in Medicare?

Yes. David Goltra 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 David Goltra accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list David Goltra 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 David Goltra affiliated with any hospitals?

According to CMS data, David Goltra is affiliated with Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Kershawhealth, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for David Goltra was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.