JOHN GORDON GODDARD MD
NPI 1629008214
Family Medicine in Shreveport, LA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71105(318) 212-3750(318) 212-3755 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Gordon Goddard Md NPPES

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

JOHN GORDON GODDARD MD (NPI 1629008214) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (15478R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1997).

NPPES Registry Identity

NPI1629008214
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN GORDON GODDARDCredential: MD
Location Address1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105Shreveport, LA 71105-5714
Mailing Address1666 E Bert Kouns Industrial Loop, Suite 105Shreveport, LA 71105-5714 · (318) 212-3750 · Fax (318) 212-3755
Fax(318) 212-3755
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1997
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 31, 2007
NPI 1629008214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in LA · 15478R Licensed in VA · 0101057937
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.

1666 E BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71105

Other Identifiers 5

Medicare PIN4J376LA
Medicaid1466760LA
Medicare UPIN4J376C858LA
Medicare PIN4J376C731LA
Medicare UPINI25719LA

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

John Gordon Goddard Md 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 ID9436103124
PECOS Enrollment IDI20050304000808
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
52 services52 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
38 services38 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
28 services28 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 6

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

Family Medicine
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105
SHREVEPORT, LA 71105
Specialist
1666 E BERT KOUNS INDUSTRIAL LOOP, STE 235
SHREVEPORT, LA 71105
Pediatrics
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105
SHREVEPORT, LA 71105
Internal Medicine
1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 230
SHREVEPORT, LA 71105
Nurse Practitioner (Family)
1666 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Physician Assistant
1666 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629008214, enumerated as an "individual" on July 03, 2006.

The provider is located at 1666 E BERT KOUNS INDUSTRIAL LOOP SUITE 105 SHREVEPORT, LA 71105 and the phone number is (318) 212-3750.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.