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MARK GOODING PA-C
NPI 1922241629
Physician Assistant - Medical in Cincinnati, OH

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
76.32/100
CMS Quality Rating
4777 E GALBRAITH RD, INTERNAL MEDICINE, CINCINNATI, OH 45236(513) 266-2404(513) 398-9198 Get Directions Write a Review

NPPES record last updated: August 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Gooding Pa-c NPPES

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

MARK GOODING PA-C (NPI 1922241629) is an individual medical provider in Cincinnati, Ohio, licensed in Ohio (50.002786) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1922241629
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK GOODINGCredential: PA-C
Location Address4777 E GALBRAITH RD, INTERNAL MEDICINECincinnati, OH 45236-2725
Mailing Address4777 E Galbraith Rd, Internal MedicineCincinnati, OH 45236-2725
Phone(513) 266-2404
Fax(513) 398-9198
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 9, 2009
Last NPPES UpdateAugust 23, 2020
NPPES CertifiedAugust 23, 2020
✔ NPI 1922241629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50.002786
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.002786 (OH)
4777 E GALBRAITH RD, Cincinnati, OH 45236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Mark Gooding Pa-c 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 ID840346656
PECOS Enrollment IDI20090921000253
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 6

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
567 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
525 services133 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
331 services104 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
183 services72 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
83 services21 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
31 services17 patients

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.

76.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.77
Improvement Activities40
Cost24.41

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$58.88 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$25.70 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 20

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

JEWISH HOSPITAL LLC
Pharmacy (Community/Retail Pharmacy)
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5678
MONTGOMERY HOSPITALISTS LLC
Hospitalist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5445
NICOLE LUTHER MD
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5446
CHIRAG TRIVEDI MD
General Practice
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-6860
MACKENZIE RENZ
Pharmacist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5051
JEREMY SAULD DO
Internal Medicine
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-6868
DAWOOD KHAN
Student in an Organized Health Care Education/Training Program
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 307-1698
MR. KUN LEE MD
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-3000

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 Mark Gooding's NPI number?

The NPI number for Mark Gooding is 1922241629. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Mark Gooding located?

Mark Gooding practices at 4777 E Galbraith Rd Internal Medicine, Cincinnati, OH 45236. The listed phone number is (513) 266-2404.

What is Mark Gooding's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mark Gooding enrolled in Medicare?

Yes. Mark Gooding 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 Mark Gooding accept?

Health plans from CareSource and UnitedHealthcare list Mark Gooding 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 Mark Gooding was last updated on August 23, 2020. 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.