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DR. RICHARD B. GODING M.D.
NPI 1962434852
Orthopaedic Surgery in Carroll, IA

Active since July 07, 2006PECOS Enrolled
311 S CLARK ST, CARROLL, IA 51401(712) 794-5536(712) 794-8523 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard B. Goding M.d. NPPES

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

DR. RICHARD B. GODING M.D. (NPI 1962434852) is an individual orthopaedic surgery provider in Carroll, Iowa, licensed in Hawaii (MD-12942) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Audubon County Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (1997).

NPPES Registry Identity

NPI1962434852
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RICHARD B. GODINGCredential: M.D.
Location Address311 S CLARK STCarroll, IA 51401-3038
Mailing Address311 S Clark StCarroll, IA 51401-3038 · (712) 794-5536 · Fax (712) 794-5823
Phone(712) 794-5536
Fax(712) 794-8523
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1997
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1962434852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in HI · MD-12942
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
311 S CLARK ST, Carroll, IA 51401
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Other Identifiers 7

Other55383501HI · Alohacare
Other99-0262194HI · Hmaa
Other0000248625HI · Hmsa
Medicaid55383501HI
Other8558402HI · Uha
Other512253HI · Hma
OtherI13708HI · Kaiser

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard B. Goding M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668447863
PECOS Enrollment IDI20161219002613
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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
52 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Audubon County Memorial Hospital

Critical Access Hospitals · Audubon, IA
OwnershipGovernment - Local
CMS Certification Number161330
Location515 Pacific AvenueAudubon, IA 50025 · Audubon County
Emergency services

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161350
Location1301 West Main StreetLake City, IA 51449 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%32 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,322 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 82% · 256 patients
87%256 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 214 patients
0%214 patients5/55-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 2

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

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
2 suppliers33 claims33 services$442.90 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier37 claims37 services$113.03 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.

OMAHA VAMC
Clinic/Center (VA)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (913) 578-4409
BURTIK DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 794-5278
ZAK JARED HINZMANN
Nurse Anesthetist, Certified Registered
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
RITA M BURLEY L.I.S.W.
Social Worker (Clinical)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
MIKALA ANNE LANDON ARNP
Nurse Practitioner (Psychiatric/Mental Health)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581
WESTERN IOWA SURGERY INC
Surgery
311 S CLARK ST, SUITE 280
CARROLL, IA 51401
Carroll County (712) 792-0480
JOHN M LONGO MD
Radiology (Radiation Oncology)
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-8265
MICHELLE J SCRANTON MS,RD,LD
Dietitian, Registered
311 S CLARK ST
CARROLL, IA 51401
Carroll County (712) 792-3581

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 Richard Goding's NPI number?

The NPI number for Richard Goding is 1962434852. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Richard Goding located?

Richard Goding practices at 311 S Clark St, Carroll, IA 51401. The listed phone number is (712) 794-5536.

What is Richard Goding's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Goding enrolled in Medicare?

Yes. Richard Goding is registered in the Medicare PECOS enrollment system.

What insurance does Richard Goding accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Richard Goding 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 Richard Goding affiliated with any hospitals?

According to CMS data, Richard Goding is affiliated with Audubon County Memorial Hospital and Stewart Memorial Community Hospital.

When was this NPI record last updated?

The NPPES record for Richard Goding was last updated on November 16, 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.