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DR. JAMES JUSTIN GOAD M.D.
NPI 1861562183
Surgery in Loxahatchee, FL

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12953 PALMS WEST DR, SUITE 201, LOXAHATCHEE, FL 33470(561) 795-5130(561) 795-4160 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Justin Goad M.d. NPPES

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

DR. JAMES JUSTIN GOAD M.D. (NPI 1861562183) is an individual surgery provider in Loxahatchee, Florida, licensed in Florida (ME97137) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of University Of Arkansas College Of Medicine (1997).

NPPES Registry Identity

NPI1861562183
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES JUSTIN GOADCredential: M.D.
Location Address12953 PALMS WEST DR, SUITE 201Loxahatchee, FL 33470-4990
Mailing Address12953 Palms West Dr, Suite 201Loxahatchee, FL 33470-4990 · (561) 795-5130 · Fax (561) 795-4160
Phone(561) 795-5130
Fax(561) 795-4160
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1997
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 18, 2022
✔ NPI 1861562183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME97137
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

12953 PALMS WEST DR, Loxahatchee, FL 33470
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Other Identifiers 2

OtherH96440FL · Upin
Medicaid277282500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. James Justin Goad 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 ID5698671394
PECOS Enrollment IDI20061219000308
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
88%57 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%313 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

PALMS WEST OB-GYN ASSOCIATES PA
Obstetrics & Gynecology
12953 PALMS WEST DR, SUITE 101 BLDG 6
LOXAHATCHEE, FL 33470
Palm Beach County (561) 795-2400
DR. ADOLFO L COLMAN MD
Family Medicine
12953 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470
Palm Beach County (561) 793-1713
MELINDA MARIE BLOM PA-C
Physician Assistant
12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470
Palm Beach County (561) 795-5130
MR. CARLOS M. PERNAS JR. P.A.
Physician Assistant
12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470
Palm Beach County (561) 790-2111
RAUL CARLOS VALDESCRUZ MD
Obstetrics & Gynecology
12953 PALMS WEST DR, BLDG 6 SUITE 101
LOXAHATCHEE, FL 33470
Palm Beach County (561) 795-2400
ALI SEDAGHEH PAKRAVAN M.D.
Internal Medicine (Gastroenterology)
12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470
Palm Beach County (561) 795-5130
PALM BEACH UROLOGY ASSOCIATES PA
Urology
12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470
Palm Beach County (561) 790-2111
METCARE OF FLORIDA INC.
Family Medicine
12953 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470
Palm Beach County (561) 793-1713

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 James Goad's NPI number?

The NPI number for James Goad is 1861562183. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is James Goad located?

James Goad practices at 12953 Palms West Dr Suite 201, Loxahatchee, FL 33470. The listed phone number is (561) 795-5130.

What is James Goad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Goad enrolled in Medicare?

Yes. James Goad 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 James Goad accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list James Goad 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 James Goad affiliated with any hospitals?

According to CMS data, James Goad is affiliated with Hca Florida Jfk Hospital and Hca Florida Palms West Hospital.

When was this NPI record last updated?

The NPPES record for James Goad was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.