DEBRA SUE GOETTSCH (P.A.-C) – Physician Assistant, NPI 1841202165

DEBRA SUE GOETTSCH (P.A.-C) is a healthcare provider. based in Berkeley, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA13453 (CA). The NPI Number for DEBRA SUE GOETTSCH (P.A.-C) is 1841202165

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA SUE GOETTSCH (P.A.-C)
NPI
1841202165
Phone
(510) 225-1025
Address
1801 SHATTUCK AVE STE A
Enumeration Date
13 August 2006
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253158828
Graduation Year
1994 (32 years ago)
PAC ID
2264533389
Group Practice PAC ID
1850528530
Professional Enrollment ID
I20070719000437
Address ID
CA945514915LI4465XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for DEBRA SUE GOETTSCH (P.A.-C)

  • 1801 SHATTUCK AVE STE A

    BERKELEY, CA 947091872

    Phone: (510) 225-1025

    Fax: (510) 225-0119

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070719000437IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 94709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850528530View full group profile
NameSpecialtyState
Physician AssistantCA
Family Practice, Emergency MedicineCA
-CA
Physician AssistantCA
Physician AssistantCA
-CA
Physician AssistantCA
-CA
Emergency MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does DEBRA SUE GOETTSCH (P.A.-C) have a public NPI I can cite?
Public records show DEBRA SUE GOETTSCH (P.A.-C) under NPI 1841202165.
Should I treat DEBRA SUE GOETTSCH (P.A.-C) as an active provider?
Patients and plans typically see DEBRA SUE GOETTSCH (P.A.-C) as active in the national extract.
Which specialty label fits DEBRA SUE GOETTSCH (P.A.-C)?
NPPES ties DEBRA SUE GOETTSCH (P.A.-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DEBRA SUE GOETTSCH (P.A.-C)?
DEBRA SUE GOETTSCH (P.A.-C) is associated with Berkeley, California in the same public data insurers reference.
Why is information missing for DEBRA SUE GOETTSCH (P.A.-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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