DR. DONALD JEAN GOUDREAU III D.M.D.
NPI 1477990182
Dentist - General Practice in Media, PA

Q: What is Donald Goudreau's NPI number?

The NPI number for Donald Goudreau is 1477990182. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Q: What is Donald Goudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Donald Goudreau was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 June 04, 2013PECOS Enrolled

1003 W BALTIMORE PIKE, MEDIA, PA 19063(484) 444-2793 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Donald Jean Goudreau Iii D.m.d. NPPES

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

DR. DONALD JEAN GOUDREAU III D.M.D. (NPI 1477990182) is an individual general practice provider in Media, Pennsylvania, licensed in Pennsylvania (DS041513) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Monroe Township.

NPPES Registry Identity

NPI1477990182

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DONALD JEAN GOUDREAU IIICredential: D.M.D.

Location Address1003 W BALTIMORE PIKEMedia, PA 19063

Mailing Address1003 W Baltimore PikeMedia, PA 19063-2332 · (484) 444-2793

Phone(484) 444-2793

Sole ProprietorNo

Enumeration DateJune 4, 2013

Last NPPES UpdateOctober 3, 2024

NPPES CertifiedSeptember 30, 2024

✔ NPI 1477990182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in PA · DS041513✔ Licensed in NJ · 22DI02956000

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1003 W BALTIMORE PIKE, Media, PA 19063

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Secondary Practice Location 1

Location 1211 Applegarth RdMonroe Township, NJ 08831-3844 · Phone (732) 561-5001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Donald Jean Goudreau Iii D.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 19063 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES

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

SADI PA, P.C.

Clinic/Center (Dental)

1003 W BALTIMORE PIKE
MEDIA, PA 19063

Delaware County (484) 444-2793

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 Donald Goudreau's NPI number?

The NPI number for Donald Goudreau is 1477990182. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Donald Goudreau located?

Donald Goudreau practices at 1003 W Baltimore Pike, Media, PA 19063. The listed phone number is (484) 444-2793.

What is Donald Goudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Goudreau enrolled in Medicare?

Yes. Donald Goudreau is registered in the Medicare PECOS enrollment system.

What insurance does Donald Goudreau accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Donald Goudreau 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.

When was this NPI record last updated?

The NPPES record for Donald Goudreau was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.