DR. JOHN BRADLEY GOFORTH D.O.
NPI 1912432550
Obstetrics & Gynecology in Boise, ID

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY STREET, STE 100, BOISE, ID 83704(208) 302-1200 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2021, Apr 20, 2017 (2 updates tracked since 2017).

About Dr. John Bradley Goforth D.o. NPPES

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

DR. JOHN BRADLEY GOFORTH D.O. (NPI 1912432550) is an individual obstetrics & gynecology provider in Boise, Idaho, licensed in Idaho (O-1517) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1912432550
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN BRADLEY GOFORTHCredential: D.O.
Location Address1072 N LIBERTY STREET, STE 100Boise, ID 83704-8706
Mailing Address1072 N Liberty St Ste 100Boise, ID 83704-8708 · (208) 302-1200
Sole ProprietorYes
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1912432550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in ID · O-1517
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1072 N LIBERTY STREET, Boise, ID 83704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. John Bradley Goforth D.o. 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 ID2163790627
PECOS Enrollment IDI20210727002017
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.

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
1072 N LIBERTY STREET, STE 303
BOISE, ID 83704
Psychiatry & Neurology (Neurology)
1072 N LIBERTY STREET, STE 303
BOISE, ID 83704
Physician Assistant (Surgical)
1072 N LIBERTY STREET, STE 201
BOISE, ID 83704
Pediatrics (Pediatric Emergency Medicine)
1072 N LIBERTY STREET, SUITE 203
BOISE, ID 83704
Neurological Surgery
1072 N LIBERTY STREET, STE 303
BOISE, ID 83704
Colon & Rectal Surgery
1072 N LIBERTY STREET, SUITE 201
BOISE, ID 83704
Colon & Rectal Surgery
1072 N LIBERTY STREET, STE 201
BOISE, ID 83704

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 John Goforth's NPI number?

The NPI number for John Goforth is 1912432550. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is John Goforth located?

John Goforth practices at 1072 N Liberty Street Ste 100, Boise, ID 83704. The listed phone number is (208) 302-1200.

What is John Goforth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Goforth enrolled in Medicare?

Yes. John Goforth 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 John Goforth accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list John Goforth 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 John Goforth affiliated with any hospitals?

According to CMS data, John Goforth is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Goforth was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.