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THEODORE LYLE GOLDMAN M.D.
NPI 1912968181
Obstetrics & Gynecology in East Northport, NY

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
7 PULASKI RD, EAST NORTHPORT, NY 11731(631) 261-3322(631) 368-5440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theodore Lyle Goldman M.d. NPPES

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

THEODORE LYLE GOLDMAN M.D. (NPI 1912968181) is an individual obstetrics & gynecology provider in East Northport, New York, licensed in New York (184252) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1912968181
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHEODORE LYLE GOLDMANCredential: M.D.
Location Address7 PULASKI RDEast Northport, NY 11731-2442
Mailing Address7 Pulaski RdEast Northport, NY 11731-2442 · (631) 261-3322 · Fax (631) 368-5440
Phone(631) 261-3322
Fax(631) 368-5440
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912968181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 184252
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.
7 PULASKI RD, East Northport, NY 11731
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Other Identifiers 3

Medicaid01404388NY
Medicare UPINF55697
Medicare ID-Type Unspecified59H861NY

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

Theodore Lyle Goldman 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 ID446388086
PECOS Enrollment IDI20100504000009
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 Theodore Goldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
20 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,740 services21 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
95 services95 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
95 services95 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.
93 services65 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
80 services80 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
30 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11731 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

ARIANNA SUPRINA N.P.
Nurse Practitioner (Family)
7 PULASKI RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 261-3322
WGM OBSTETRICS AND GYNECOLOGY,PC
Obstetrics & Gynecology
7 PULASKI RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 261-3322
JOHN RAYMOND WAGNER M.D.
Obstetrics & Gynecology
7 PULASKI RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 261-3322
MALGORZATA KRYSTYNA MIERZEJEWSKI MSN,RN,FNP-BC
Nurse Practitioner (Family)
7 PULASKI RD
EAST NORTHPORT, NY 11731
Suffolk County (631) 261-3322

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 Theodore Goldman's NPI number?

The NPI number for Theodore Goldman is 1912968181. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Theodore Goldman located?

Theodore Goldman practices at 7 Pulaski Rd, East Northport, NY 11731. The listed phone number is (631) 261-3322.

What is Theodore Goldman's specialty?

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

Is Theodore Goldman enrolled in Medicare?

Yes. Theodore Goldman 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 Theodore Goldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Goldman reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Theodore Goldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theodore Goldman affiliated with any hospitals?

According to CMS data, Theodore Goldman is affiliated with Ns/Lij Hs Huntington Hospital, North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Theodore Goldman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.