BLAKE BISHOP GOODBAR MD
NPI 1740676543
Internal Medicine in Charlotte, NC

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
3030 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211(704) 512-5000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 58 more (61 updates tracked since 2018).

About Blake Bishop Goodbar Md NPPES

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

BLAKE BISHOP GOODBAR MD (NPI 1740676543) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2018-01959) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740676543
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBLAKE BISHOP GOODBARCredential: MD
Location Address3030 RANDOLPH RD, STE 200Charlotte, NC 28211-1368
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateJuly 15, 202461 updates tracked since enumeration
NPI 1740676543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2018-01959
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3030 RANDOLPH RD, Charlotte, NC 28211

Secondary Practice Locations 3

Location 1332 N Trade St, Ste 2000Matthews, NC 28105-1728 · Phone (704) 302-8500
Location 213640 Steelecroft Pkwy, Ste 320Charlotte, NC 28278-7565 · Phone (704) 302-8900
Location 315110 John J Delaney Dr, Ste 200Charlotte, NC 28277-3544 · Phone (704) 302-8100

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

Blake Bishop Goodbar 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 ID8527336726
PECOS Enrollment IDI20181019002031
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 8

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.

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.
174 services136 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
70 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
53 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services36 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$179.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Practitioner (Family)
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Occupational Therapist (Physical Rehabilitation)
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Physician Assistant
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Family Medicine
3030 RANDOLPH RD, STE 102-A
CHARLOTTE, NC 28211
Physician Assistant
3030 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Nurse Practitioner (Acute Care)
3030 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Practitioner
3030 RANDOLPH RD, STE 102-A
CHARLOTTE, NC 28211

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 Blake Goodbar's NPI number?

The NPI number for Blake Goodbar is 1740676543. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Blake Goodbar located?

Blake Goodbar practices at 3030 Randolph Rd Ste 200, Charlotte, NC 28211. The listed phone number is (704) 512-5000.

What is Blake Goodbar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blake Goodbar enrolled in Medicare?

Yes. Blake Goodbar 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 Blake Goodbar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Blake Goodbar 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 Blake Goodbar affiliated with any hospitals?

According to CMS data, Blake Goodbar is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Blake Goodbar was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.