DR. SIDNEY BRENT GOODWIN (O.D.) – Corneal and Contact Management Optometrist, NPI 1750541009
Corneal and Contact Management Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 OPTOMETRY in CO
Provider Addresses for DR. SIDNEY BRENT GOODWIN (O.D.)
921 HARRISON AVE
CANON CITY, CO 812123443
Phone: (719) 467-5143
Type: Mailing
256 RED DEER RD
FRANKTOWN, CO 80116
Phone: (520) 591-3250
Type: Mailing
8455 PARK MEADOWS CENTER DRIVE
LENSCRAFTERS AT MACYS
LITTLETON, CO 80124
Phone: (303) 799-1364
Fax: (303) 799-5857
Type: Location
2776 E MAIN ST
CANON CITY, CO 812124010
Phone: (719) 275-1523
Fax: (719) 275-6925
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.
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: 2017-08-17
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 |
|---|---|---|---|---|
| I20120816000403 | I | Optometry | TX | TBD |
| I20170817000629 | I | Optometry | CO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 138 | 137 | $0 |
| 92134 | Imaging of retina | 98 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 53 | $0 |
| 92004 | New patient complete exam of visual system | 53 | 53 | $0 |
Insurance plans in this area (ZIP 81212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NM | |
| - | CA | |
| Physician Assistant | FL | |
| Nurse Practitioner | AZ | |
| O P T O M E T R Y | TX | |
| - | AZ | |
| Family Practice | AZ | |
| - | NY | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ |
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