Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENT THOMAS GOEDJEN M.D.
NPI 1912292657
Dermatology in Roswell, GA

Q: What is Brent Goedjen's NPI number?

The NPI number for Brent Goedjen is 1912292657. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Q: What is Brent Goedjen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Goedjen was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 June 10, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

135 NORCROSS ST, ROSWELL, GA 30075(678) 870-2020(262) 203-9631 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2026, Jul 22, 2022 (2 updates tracked since 2022).

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About Brent Thomas Goedjen M.d. NPPES

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

BRENT THOMAS GOEDJEN M.D. (NPI 1912292657) is an individual dermatology provider in Roswell, Georgia, licensed in Georgia (73450) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alpharetta, and is a graduate of University Of South Alabama College Of Medicine (2011).

NPPES Registry Identity

NPI1912292657

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameBRENT THOMAS GOEDJENCredential: M.D.

Location Address135 NORCROSS STRoswell, GA 30075-3867

Mailing Address135 Norcross StRoswell, GA 30075-3867 · (678) 870-2020 · Fax (262) 203-9631

Phone(678) 870-2020

Fax(262) 203-9631

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2011

Enumeration DateJune 10, 2011

Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1912292657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in GA · 73450✔ Licensed in FL · ME114104

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

135 NORCROSS ST, Roswell, GA 30075

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Secondary Practice Location 1

Location 16110 McFarland Station Dr Unit 901Alpharetta, GA 30004-6828 · Phone (678) 870-2020 · Fax (262) 203-9631

Other Identifiers 1

Medicaid009270000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 and accepts Medicare assignment

Brent Thomas Goedjen 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 ID4385885227

PECOS Enrollment IDI20150803002436

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 Reassignment

Medicare enrollment records show Brent Goedjen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Live Oak Dermatology

Same address

Dermatology

135 NORCROSS ST # 8
Roswell, GA 30075

Reassigned Medicare billing, Georgia enrollment

NPI 1194209163 (678) 870-2020

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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,102 services186 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.

612 services348 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

316 services220 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

261 services202 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.

113 services113 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

111 services68 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.

94 services76 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

47 services38 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

38 services30 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.

32 services32 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

20 services20 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

20 services18 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.

20 services19 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

15 services15 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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 Brent Goedjen's NPI number?

The NPI number for Brent Goedjen is 1912292657. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Brent Goedjen located?

Brent Goedjen practices at 135 Norcross St, Roswell, GA 30075. The listed phone number is (678) 870-2020.

What is Brent Goedjen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brent Goedjen enrolled in Medicare?

Yes. Brent Goedjen 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.

Which organization bills Medicare for Brent Goedjen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Goedjen reassigns Medicare benefits to Live Oak Dermatology (Roswell, GA). The 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 Brent Goedjen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Goedjen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brent Goedjen 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.

When was this NPI record last updated?

The NPPES record for Brent Goedjen was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.