DR. DIMITRY B GOUFMAN (M.D.) – Otolaryngology Physician, NPI 1104824101
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for DR. DIMITRY B GOUFMAN (M.D.)
302 WEST LAVETA AVE.
SUITE 201
ORANGE, CA 92866
Phone: (714) 835-4404
Fax: (714) 532-6563
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GENZYME CORPORATION ($126).
Total Amount
$216
General + Research + Ownership
Payments
8
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-02-22
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 |
|---|---|---|---|---|
| I20080222000488 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 754 | 338 | $0 |
| 69210 | Removal of impacted ear wax | 314 | 205 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 143 | 143 | $0 |
| 92550 | Test for eardrum and muscle function | 97 | 83 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 97 | 84 | $0 |
Insurance plans in this area (ZIP 92866)
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