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MARK SPENCER GOODMAN
NPI 1639924327
Dentist in Cleveland, OH

Active since April 17, 2024PECOS Enrolled
3701 LORAIN AVE, CLEVELAND, OH 44113(765) 251-3466 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2025, Apr 17, 2024 (2 updates tracked since 2024).

About Mark Spencer Goodman NPPES

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

MARK SPENCER GOODMAN (NPI 1639924327) is an individual dentist in Cleveland, Ohio, licensed in Ohio (30.027571) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Case Western University School Of Dental Medicine (2024).

NPPES Registry Identity

NPI1639924327
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK SPENCER GOODMAN
Location Address3701 LORAIN AVECleveland, OH 44113-3707
Mailing Address13093 Cedar RdCleveland, OH 44118-2709 · (765) 251-3466
Phone(765) 251-3466
Sole ProprietorYes
Medical School CMSCase Western University School Of Dental MedicineGraduated 2024
Enumeration DateApril 17, 2024
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1639924327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.027571
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3701 LORAIN AVE, Cleveland, OH 44113
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Spencer Goodman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062978844
PECOS Enrollment IDI20260731002260
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Metrohealth System
1.5 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44113 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

MIRA MOURAD MORCOS ABOELKHEIR
Dentist (General Practice)
3701 LORAIN AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 778-4725
THE METROHEALTH SYSTEM
Dentist
3701 LORAIN AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 778-8046
CHAITANYA CHAPPIDI
Dentist (General Practice)
3701 LORAIN AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 778-4725

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 1639924327. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Mark Goodman located?

Mark Goodman practices at 3701 Lorain Ave, Cleveland, OH 44113. The listed phone number is (765) 251-3466.

What is Mark Goodman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Goodman enrolled in Medicare?

Yes. Mark Goodman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Goodman reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Goodman 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 10 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.

Is Mark Goodman affiliated with any hospitals?

According to CMS data, Mark Goodman is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Mark Goodman was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.