DR. JAMES WALTER GOFORTH M.D
NPI 1811945470
Internal Medicine in Hickory, NC

Q: What is James Goforth's NPI number?

The NPI number for James Goforth is 1811945470. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is James Goforth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Goforth was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

2972 N CENTER ST, HICKORY, NC 28601(828) 431-4955 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. James Walter Goforth M.d NPPES

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

DR. JAMES WALTER GOFORTH M.D (NPI 1811945470) is an individual internal medicine provider in Hickory, North Carolina, licensed in North Carolina (30343) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1983).

NPPES Registry Identity

NPI1811945470

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES WALTER GOFORTHCredential: M.D

Location Address2972 N CENTER STHickory, NC 28601-1159

Mailing Address2972 N Center StHickory, NC 28601-1159 · (828) 431-4955

Phone(828) 431-4955

Sole ProprietorYes

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1983

Enumeration DateMay 5, 2006

Last NPPES UpdateOctober 24, 2023

NPPES CertifiedOctober 24, 2023

✔ NPI 1811945470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 30343

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 30343 (NC)

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 30343 (NC)

2972 N CENTER ST, Hickory, NC 28601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

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

Dr. James Walter Goforth M.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 ID9638320617

PECOS Enrollment IDI20141103001566

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 Reassignments

Medicare enrollment records show James Goforth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Consultants PLLC

1.6 mi

Geriatric Medicine

220 13TH AVENUE PL NW
Hickory, NC 28601

Reassigned Medicare billing, North Carolina enrollment
67 clinicians in this Medicare group

NPI 1801478086 (914) 843-9637

Pinnacle Urgent Care PLLC

105 mi

Family Medicine

3137 GARDEN RD
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
18 clinicians in this Medicare group

NPI 1437860889 (225) 235-0030

Curana Health Of North Carolina PLLC

132 mi

Internal Medicine

5306 NC HIGHWAY 55 STE 105
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
338 clinicians in this Medicare group

NPI 1770217176 (337) 408-0797

Physicians Eldercare PA

132 mi

General Practice

5306 NC HIGHWAY 55 STE 105
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
365 clinicians in this Medicare group

NPI 1023083268 (337) 991-9276

Careconnectmd North Carolina P.C.

137 mi

General Practice

555 S MANGUM ST STE 100
Durham, NC 27701

Reassigned Medicare billing, North Carolina enrollment
60 clinicians in this Medicare group

NPI 1104507441 (888) 789-9585

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

129 services58 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

65 services40 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

55 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 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.

14 services14 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier18 claims90 services$8.44 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier16 claims160 services$2.61 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 5

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

DR. CHARLES WESLEY MCKARAHER M.D

Emergency Medicine