THOMAS PERRY GOODELL (M.D.) – Family Medicine Physician, NPI 1639266950

THOMAS PERRY GOODELL (M.D.) is a healthcare provider. based in Trinidad, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 6971A (WY). The NPI Number for THOMAS PERRY GOODELL (M.D.) is 1639266950

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS PERRY GOODELL (M.D.)
NPI
1639266950
Phone
(719) 846-2206
Address
400 BENEDICTA AVE
Enumeration Date
6 October 2006
Last Update Date
10 April 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
7198462206
Graduation Year
1981 (45 years ago)
PAC ID
3274527197
Group Practice PAC ID
2769394055
Professional Enrollment ID
I20080603000359
Address ID
CO810822089TR400XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

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Provider Addresses for THOMAS PERRY GOODELL (M.D.)

  • 400, Benedicta Avenue, Trinidad, Las Animas County, Colorado, 81082, United States

    TRINIDAD, CO 810822099

    Phone: (719) 846-2206

    Fax: (719) 845-0663

    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: 2008-06-03

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
I20080603000359IFamily PracticeCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8443$0
99238Hospital discharge day management, 30 minutes or less5251$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4443$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1313$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 81082)

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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: 2769394055View full group profile
NameSpecialtyState
General SurgeryNM
-CO
Physician AssistantTN
Physician AssistantCT
Family PracticeOR
Family Practice, HospitalistID
Nurse PractitionerCO
Cardiovascular Disease (Cardiology), Internal MedicineCO
General SurgeryCO
General Practice, Emergency Medicine, Family PracticeCO

Reviews

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Frequently asked questions

Can I cross-check THOMAS PERRY GOODELL (M.D.) using NPI 1639266950?
NPI 1639266950 belongs to THOMAS PERRY GOODELL (M.D.); compare other details if you need extra assurance.
Would THOMAS PERRY GOODELL (M.D.) appear as active to a payer?
You can treat THOMAS PERRY GOODELL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for THOMAS PERRY GOODELL (M.D.)?
At a glance, THOMAS PERRY GOODELL (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is THOMAS PERRY GOODELL (M.D.) located near Trinidad?
THOMAS PERRY GOODELL (M.D.) currently maps to Trinidad, Colorado in this extract.
When was this NPI issued?
Enumeration for THOMAS PERRY GOODELL (M.D.) is noted as October 6, 2006 where the registry provides it.

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