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DR. MARK DAVID GOODMAN PHD FPPR
NPI 1629039854
Psychologist - Clinical in Hutchinson, KS

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
125 W. 2ND AVENUE, SUITE E, HUTCHINSON, KS 67501(620) 663-4802(620) 663-9867 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2017, Jan 24, 2017 (2 updates tracked since 2017).

About Dr. Mark David Goodman Phd Fppr NPPES

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

DR. MARK DAVID GOODMAN PHD FPPR (NPI 1629039854) is an individual clinical provider in Hutchinson, Kansas, licensed in Kansas (374) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1629039854
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK DAVID GOODMANCredential: PHD FPPR
Location Address125 W. 2ND AVENUE, SUITE EHutchinson, KS 67501-5300
Mailing AddressPo Box 1221Hutchinson, KS 67504-1221 · (620) 663-4802 · Fax (620) 663-9867
Phone(620) 663-4802
Fax(620) 663-9867
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateMarch 29, 2006
Last NPPES UpdateJanuary 31, 20172 updates tracked since enumeration
✔ NPI 1629039854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KS · 374
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
125 W. 2ND AVENUE, Hutchinson, KS 67501
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Other Identifiers 3

Medicare UPINR30802
Medicare ID-Type Unspecified004369KS
Medicaid100237680AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Dr. Mark David Goodman Phd Fppr 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 ID2365498789
PECOS Enrollment IDI20050329000262
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 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
224 services43 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
143 services35 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
38 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67501 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
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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 Mark Goodman's NPI number?

The NPI number for Mark Goodman is 1629039854. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Mark Goodman located?

Mark Goodman practices at 125 W. 2nd Avenue Suite E, Hutchinson, KS 67501. The listed phone number is (620) 663-4802.

What is Mark Goodman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mark Goodman enrolled in Medicare?

Yes. Mark Goodman 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 Mark Goodman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Mark Goodman 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 Mark Goodman was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.