DR. STACEY D. GOODRICH M.D.
NPI 1578570180
Family Medicine in Tecumseh, NE

Q: What is Stacey Goodrich's NPI number?

The NPI number for Stacey Goodrich is 1578570180. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Stacey Goodrich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Goodrich was last updated on January 17, 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.

Active since August 03, 2006PECOS Enrolled

202 HIGH ST STE 100, TECUMSEH, NE 68450(402) 335-2811(402) 335-2826 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Stacey D. Goodrich M.d. NPPES

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

DR. STACEY D. GOODRICH M.D. (NPI 1578570180) is an individual family medicine provider in Tecumseh, Nebraska, licensed in Nebraska (16657) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Adams.

NPPES Registry Identity

NPI1578570180

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STACEY D. GOODRICHCredential: M.D.

Location Address202 HIGH ST STE 100Tecumseh, NE 68450-2443

Mailing AddressPo Box 538Tecumseh, NE 68450-0538 · (402) 335-2811 · Fax (402) 335-2826

Phone(402) 335-2811

Fax(402) 335-2826

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateJanuary 17, 2022

NPPES CertifiedJanuary 17, 2022

✔ NPI 1578570180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 16657

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.

202 HIGH ST STE 100, Tecumseh, NE 68450

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Secondary Practice Location 1

Location 1620 Main St Ste AAdams, NE 68301-8277 · Phone (402) 988-2188 · Fax (402) 988-2203

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. Stacey D. Goodrich 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 68450 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

36%337 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

49%723 patients3/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

17%179 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers12 claims12 services$43.20 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers11 claims32 services$40.35 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers12 claims12 services$23.87 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers11 claims11 services$22.59 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers21 claims112 services$3.22 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers42 claims42 services$41.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MS. ELIZABETH A GOBBER PA-C

Physician Assistant (Medical)