DR. GARY M GOODMAN MD
NPI 1811999485
Pediatrics - Pediatric Allergy/Immunology in Saint Louis, MO

Q: What is Gary Goodman's NPI number?

The NPI number for Gary Goodman is 1811999485. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Gary Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Gary Goodman was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 12, 2005PECOS Enrolled

1 CHILDRENS PL, SAINT LOUIS, MO 63110(314) 454-2694(314) 454-2515 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2020, Jan 9, 2018, Nov 14, 2016 (3 updates tracked since 2016).

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About Dr. Gary M Goodman Md NPPES

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

DR. GARY M GOODMAN MD (NPI 1811999485) is an individual pediatric allergy/immunology provider in Saint Louis, Missouri, licensed in Missouri (102527) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Michigan Medical School (1981).

NPPES Registry Identity

NPI1811999485

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameDR. GARY M GOODMANCredential: MD

Location Address1 CHILDRENS PLSaint Louis, MO 63110-1002

Mailing Address456 N New Ballas Rd, Ste 129Saint Louis, MO 63141-6812 · (314) 569-1881 · Fax (314) 569-3277

Phone(314) 454-2694

Fax(314) 454-2515

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1981

Enumeration DateAugust 12, 2005

Last NPPES UpdateFebruary 19, 20203 updates tracked since enumeration

✔ NPI 1811999485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in MO · 102527

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedPediatricsTaxonomy 208000000X · License 102527 (MO)

1 CHILDRENS PL, Saint Louis, MO 63110

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Other Identifiers 2

Medicaid204643001MO

MedicaidENROLLEDIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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)

Dr. Gary M Goodman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527049832

PECOS Enrollment IDI20040525000022, I20090311000461

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 Gary Goodman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis, Wright, Berdy, & Suffian PC

9.9 mi

Allergy & Immunology

456 N NEW BALLAS RD, SUITE 129
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
4 clinicians in this Medicare group

NPI 1639110935 (314) 569-1881

Allergy & Asthma Care Of Sedona, LLC

1,235 mi

Allergy & Immunology

450 S WILLARD ST STE 101
Cottonwood, AZ 86326

Reassigned Medicare billing, Arizona enrollment

NPI 1053500207 (928) 284-0166

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 9

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

4,561 services82 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

1,933 services123 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

1,517 services120 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.

295 services215 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.

88 services88 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.

37 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers65 claims257 services$17.73 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$3.50 avg. paid by Medicare

Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779

DME-Other DME · category DE000N

3 suppliers38 claims38 services$12.33 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

5 suppliers94 claims39,837 services$9.52 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

5 suppliers81 claims402 services$2.35 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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

MRS. BRIANNA LYNN RICHTER NNP-BC

Nurse Practitioner (Neonatal)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

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 Gary Goodman's NPI number?

The NPI number for Gary Goodman is 1811999485. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Gary Goodman located?

Gary Goodman practices at 1 Childrens Pl, Saint Louis, MO 63110. The listed phone number is (314) 454-2694.

What is Gary Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Gary Goodman enrolled in Medicare?

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

Which organizations bill Medicare for Gary Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Goodman reassigns Medicare benefits to 2 organizations: Davis, Wright, Berdy, & Suffian PC (Saint Louis, MO) and Allergy & Asthma Care Of Sedona, LLC (Cottonwood, AZ). Each 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 Gary Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Goodman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 8 other insurers list Gary 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 Gary Goodman affiliated with any hospitals?

According to CMS data, Gary Goodman is affiliated with Mercy Hospital St Louis and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Goodman was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.