DR. JEFFREY R GOLDBERG (MD) – Family Medicine Physician, NPI 1093723983
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for DR. JEFFREY R GOLDBERG (MD)
4 FARM SPRINGS ROAD
PROHEALTH PHYSICIANS INC
FARMINGTON, CT 060322573
Phone: (860) 284-5200
Fax: (860) 284-5333
Type: Mailing
25, Collins Road, Edgewood, Bristol, Naugatuck Valley Planning Region, Connecticut, 06010, United States
BRISTOL, CT 06010
Phone: (860) 589-8882
Fax: (860) 585-8898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2023-10-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($135).
Total Amount
$135
General + Research + Ownership
Payments
7
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $135 |
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: 2010-06-21
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 |
|---|---|---|---|---|
| I20100621000442 | I | Family Practice | CT | 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 | 354 | 174 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 196 | 121 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 143 | 130 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 125 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 86 | $0 |
Insurance plans in this area (ZIP 06032)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| - | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Family Practice | NY | |
| Physician Assistant | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Geriatric Medicine | CT | |
| Nurse Practitioner | CT |
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