LESLIE L GOODAVISH MMS PAC
NPI 1730141987
Physician Assistant in Madison, WI

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
4602 EASTPARK BLVD, MADISON, WI 53718(608) 263-8820 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2021, Jun 1, 2020, Nov 21, 2019 and 1 more (4 updates tracked since 2019).

About Leslie L Goodavish Mms Pac NPPES

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

LESLIE L GOODAVISH MMS PAC (NPI 1730141987) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (1933-23) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1730141987
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLESLIE L GOODAVISHCredential: MMS PAC
Location Address4602 EASTPARK BLVDMadison, WI 53718-2002
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 15, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
NPI 1730141987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 1933-23 Licensed in MT · MED-PAC-LIC-79429
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4602 EASTPARK BLVD, Madison, WI 53718

Other Names 1

Former Name (1)Leslie L Standorf Mms Pac

Secondary Practice Location 1

Location 17929 Oak View DriveMadison, WI 53719 · Phone (608) 469-0232

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

Leslie L Goodavish Mms Pac 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 ID3678581410
PECOS Enrollment IDI20060405000239
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
4602 EASTPARK BLVD
MADISON, WI 53718
Physician Assistant
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist (Sports)
4602 EASTPARK BLVD
MADISON, WI 53718
Surgery
4602 EASTPARK BLVD
MADISON, WI 53718
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Massage Therapist
4602 EASTPARK BLVD
MADISON, WI 53718

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 Leslie Goodavish's NPI number?

The NPI number for Leslie Goodavish is 1730141987. It was assigned to this individual provider in the NPPES registry on April 4, 2006. The provider is also known as Leslie L Standorf Mms Pac.

Where is Leslie Goodavish located?

Leslie Goodavish practices at 4602 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 263-8820.

What is Leslie Goodavish's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leslie Goodavish enrolled in Medicare?

Yes. Leslie Goodavish 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 Leslie Goodavish accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Leslie Goodavish 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 Leslie Goodavish affiliated with any hospitals?

According to CMS data, Leslie Goodavish is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Leslie Goodavish was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.