MATTHEW MORTENSEN GOODMAN (M.D) – Dermatology Physician, NPI 1679556633
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for MATTHEW MORTENSEN GOODMAN (M.D)
1125, East 17th Street, Santa Ana, Orange County, California, 92701, United States
STE W-248
SANTA ANA, CA 92701
Phone: (714) 547-5151
Fax: (714) 547-4027
Type: Mailing
9151 W Thunderbird Rd Ste G104
Peoria, AZ 853814906
Phone: (623) 254-7375
Fax: (623) 259-6754
Type: Location
13261 CROMWELL DR
TUSTIN, CA 927804705
Phone: (714) 955-1214
Fax: (623) 259-6754
Type: Mailing
180 NEWPORT CENTER DR STE 158
NEWPORT BEACH, CA 926600934
Phone: (949) 719-1800
Fax: (949) 719-1810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($53).
Total Amount
$103
General + Research + Ownership
Payments
5
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $53 |
| GENZYME CORPORATION | $30 |
| Arcutis Biotherapeutics, Inc. | $21 |
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: 2023-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090330000523 | I | Dermatology | CA | TBD |
| I20231109001142 | I | Dermatology | AZ | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 262 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 70 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 97 | 51 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 92 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 33 | $0 |
Insurance plans in this area (ZIP 92701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ |
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