RICHARD M GOLDBACH (PT) – Physical Therapist, NPI 1003848169
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for RICHARD M GOLDBACH (PT)
408 HIGUERA ST STE 200
SAN LUIS OBISPO, CA 934016135
Phone: (805) 788-0805
Fax: (805) 788-0845
Type: Mailing
6907 EL CAMINO REAL STE D
ATASCADERO, CA 934224386
Phone: (805) 466-6719
Fax: (805) 466-5286
Type: Location
1106, Walnut Street, San Luis Obispo, San Luis Obispo County, California, 93410, United States
SUITE 110
SAN LUIS OBISPO, CA 934012416
Phone: (805) 788-0805
Fax: (805) 788-0845
Type: Mailing
San Luis Sports Therapy, 7325, El Camino Real, Atascadero, San Luis Obispo County, California, 93422, United States
ATASCADERO, CA 934224628
Phone: (805) 466-6719
Fax: (805) 466-5286
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050204000791 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,310 | 228 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,057 | 217 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 953 | 204 | $0 |
| 97016 | Application of blood vessel compression device | 794 | 153 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 518 | 108 | $0 |
Insurance plans in this area (ZIP 93401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA |
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