DR. JAMES DEAN GOULD M.D.
NPI 1912908161
Specialist in Festus, MO

Q: What is James Gould's NPI number?

The NPI number for James Gould is 1912908161. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is James Gould's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for James Gould was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 09, 2005PECOS EnrolledAccepts Medicare Assignment

73.91/100

CMS Quality Rating

1390 HIGHWAY 61, SUITE 3100, FESTUS, MO 63028(636) 931-7380(636) 937-5546 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. James Dean Gould M.d. NPPES

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

DR. JAMES DEAN GOULD M.D. (NPI 1912908161) is an individual specialist in Festus, Missouri, licensed in Missouri (103466) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Virginia Commonwealth University, School Of Medicine (1993).

NPPES Registry Identity

NPI1912908161

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JAMES DEAN GOULDCredential: M.D.

Location Address1390 HIGHWAY 61, SUITE 3100Festus, MO 63028-4137

Mailing Address1390 Highway 61, Suite 3100Festus, MO 63028-4137 · (636) 931-7380 · Fax (636) 937-5546

Phone(636) 931-7380

Fax(636) 937-5546

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1993

Enumeration DateAugust 9, 2005

Last NPPES UpdateOctober 2, 2007

✔ NPI 1912908161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 103466

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1390 HIGHWAY 61, Festus, MO 63028

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Other Identifiers 1

OtherG95138Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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 Dean Gould 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 ID2961436597

PECOS Enrollment IDI20070725000076

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 14

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.

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.

351 services19 patients

Removal or destruction of growth of nose through nose 30117

This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.

133 services67 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

124 services113 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.

119 services94 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

109 services104 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.

84 services84 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

81 services67 patients

Dilation of nasal sinus using an endoscope 31295

Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.

72 services72 patients

Dilation of sphenoid and frontal nasal sinus using an endoscope 31298

This procedure involves enlarging the openings of your sphenoid and frontal nasal sinuses using a thin, lighted tube called an endoscope. It helps to alleviate symptoms of sinusitis, improving your breathing and reducing discomfort.

70 services70 patients

Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose 69706

This procedure involves widening the eustachian tubes, which connect your middle ear to your throat, to improve ear function. An endoscope, a thin tube with a light, is inserted through the nose to visualize and perform the procedure on both sides.

69 services69 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

67 services67 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

57 services57 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

39 services39 patients

Computer-assisted procedure outside membrane covering brain 61782

A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

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.

73.91/100

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

Individually scored

Quality

47.83

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

0%100 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

62%2,016 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%462 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

4%1,715 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,625 patients1/55-star benchmark: 61%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 493 patients

Patients totalRate: 5% · 493 patients

3%493 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers17 claims17 services$32.94 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers15 claims15 services$52.94 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers14 claims14 services$16.34 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers21 claims102 services$1.84 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 10

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

DR. KENNETH RICHARD KILIAN M.D.

Family Medicine

1390 HIGHWAY 61, SUITE 2200
FESTUS, MO 63028

Jefferson County (636) 933-9300

DR. BASSAM A. ROUKOZ M.D.

Internal Medicine (Interventional Cardiology)

1390 HIGHWAY 61, SUITE 3300
FESTUS, MO 63028

Jefferson County (636) 931-6302

TWIN CITY INTERNAL MEDICINE SPECIALISTS, INC.

Internal Medicine

1390 HIGHWAY 61, SUITE 2200
FESTUS, MO 63028

Jefferson County (636) 937-8642

WARREN M BREITE MD

Internal Medicine (Critical Care Medicine)

1390 HIGHWAY 61, SUITE 2300
FESTUS, MO 63028

Jefferson County (636) 937-3121

CRAIG RICHARD RUBLE M.D.

Orthopaedic Surgery

1390 HIGHWAY 61, JHM MOC SUITE G1000
FESTUS, MO 63028

Jefferson County (636) 933-7400

METRO HEART GROUP OF ST. LOUIS, INC.

Specialist

1390 HIGHWAY 61, SUITE 3300
FESTUS, MO 63028

Jefferson County (636) 931-6302

OCCUPATIONAL & PAIN MANAGEMENT PROFESSIONALS

Specialist

1390 HIGHWAY 61, SUITE G100
FESTUS, MO 63028

Jefferson County (636) 931-5533

MRS. JULIA ANN WERNER

Dietitian, Registered

1390 HIGHWAY 61
FESTUS, MO 63028

Jefferson County (636) 933-1227

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 Gould's NPI number?

The NPI number for James Gould is 1912908161. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is James Gould located?

James Gould practices at 1390 Highway 61 Suite 3100, Festus, MO 63028. The listed phone number is (636) 931-7380.

What is James Gould's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Gould enrolled in Medicare?

Yes. James Gould 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 Gould accept?

Health plans from Medica and UnitedHealthcare list James Gould 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 Gould affiliated with any hospitals?

According to CMS data, James Gould is affiliated with Mercy Hospital Jefferson.

When was this NPI record last updated?

The NPPES record for James Gould was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.