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THEODORE MICHAEL GOETZ PH.D.
NPI 1669463766
Psychologist - Clinical in Athens, GA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
1751 S LUMPKIN ST, ATHENS, GA 30606(706) 548-9441(706) 354-8904 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theodore Michael Goetz Ph.d. NPPES

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

THEODORE MICHAEL GOETZ PH.D. (NPI 1669463766) is an individual clinical provider in Athens, Georgia, licensed in Georgia (698) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1669463766
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTHEODORE MICHAEL GOETZCredential: PH.D.
Location Address1751 S LUMPKIN STAthens, GA 30606-4740
Mailing Address1751 S Lumpkin StAthens, GA 30606-4740 · (706) 548-9441 · Fax (706) 354-8904
Phone(706) 548-9441
Fax(706) 354-8904
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1669463766 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 GA · 698
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.
1751 S LUMPKIN ST, Athens, GA 30606
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Michael Goetz Ph.d. 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 ID6800061722
PECOS Enrollment IDI20111205000533
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 Theodore Goetz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Theodore M Goetz Phd PC
Same address
Clinical
1751 S LUMPKIN ST
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
NPI 1184991705 (706) 548-9441

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 9

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

DR. ANNE W. REYNOLDS PH.D.
Psychologist
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 546-5799
DR. ALYSSA G CLARK PH.D.
Psychologist (Clinical)
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 354-4204
THEODORE M GOETZ PHD PC
Psychologist (Clinical)
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 548-9441
RACHEL FRANCINE GOTTLIEB PHD
Psychologist (Clinical)
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 395-2525
D. CHARLES WILLIAMS, PH.D. P.C.
Psychologist (Clinical)
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 543-5552
RACHEL F GOTTLIEB, PHD, LLC
Psychologist (Clinical)
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (336) 655-6980
DR. PATRICIA S. BRAWNER PHD, LLC
Psychologist
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 552-2820
DR. ANNA J WILLIAMS PHD
Psychologist
1751 S LUMPKIN ST
ATHENS, GA 30606
Clarke County (706) 546-6937

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 Theodore Goetz's NPI number?

The NPI number for Theodore Goetz is 1669463766. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Theodore Goetz located?

Theodore Goetz practices at 1751 S Lumpkin St, Athens, GA 30606. The listed phone number is (706) 548-9441.

What is Theodore Goetz's specialty?

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

Is Theodore Goetz enrolled in Medicare?

Yes. Theodore Goetz 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.

Which organization bills Medicare for Theodore Goetz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Goetz reassigns Medicare benefits to Theodore M Goetz Phd PC (Athens, GA). 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 Theodore Goetz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Goetz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.