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

DUSTIN RYAN GOODWIN JR.
NPI 1942940473
Emergency Medicine - Sports Medicine in Goodyear, AZ

Active since March 31, 2022PECOS Enrolled
1800 N. CIVIC SQ., GOODYEAR, AZ 85395(623) 465-6506 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Dustin Ryan Goodwin Jr. NPPES

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

DUSTIN RYAN GOODWIN JR. (NPI 1942940473) is an individual sports medicine provider in Goodyear, Arizona, licensed in Arizona (76782) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Goodyear.

NPPES Registry Identity

NPI1942940473
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameDUSTIN RYAN GOODWIN JR.
Location Address1800 N. CIVIC SQ.Goodyear, AZ 85395
Mailing Address1800 N Civic Sq Ste 220Goodyear, AZ 85395-2391 · (623) 465-6506 · Fax (623) 474-8380
Phone(623) 465-6506
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1942940473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in AZ · 76782
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
1800 N. CIVIC SQ., Goodyear, AZ 85395
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Secondary Practice Location 1

Location 11800 N. Civic Sq.Goodyear, AZ 85395 · Phone (623) 465-6506

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Ryan Goodwin Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dustin Goodwin's NPI number?

The NPI number for Dustin Goodwin is 1942940473. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Dustin Goodwin located?

Dustin Goodwin practices at 1800 N. Civic Sq., Goodyear, AZ 85395. The listed phone number is (623) 465-6506.

What is Dustin Goodwin's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Dustin Goodwin enrolled in Medicare?

Yes. Dustin Goodwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Goodwin was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.