JOHN DOUGLAS GOODNER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1003313271

JOHN DOUGLAS GOODNER (DPM) is a healthcare provider. based in Davie, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 3986 (FL). The NPI Number for JOHN DOUGLAS GOODNER (DPM) is 1003313271

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DOUGLAS GOODNER (DPM)
NPI
1003313271
Phone
(954) 288-5814
Address
12449 EMERALD CREEK MNR
Enumeration Date
12 April 2018
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5614965144
Graduation Year
2015 (11 years ago)
PAC ID
4183051881
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20200218002631
Address ID
FL334463808DE13550RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for JOHN DOUGLAS GOODNER (DPM)

  • 12449 EMERALD CREEK MNR

    DAVIE, FL 333256397

    Phone: (954) 288-5814

    Type: Mailing

  • 4780 CITRUS WAY

    COOPER CITY, FL 333308811

    Phone: (954) 288-5814

    Type: Mailing

  • 9970 CENTRAL PARK BLVD N STE 300

    BOCA RATON, FL 334282237

    Phone: (561) 488-2200

    Fax: (561) 488-1064

    Type: Location

  • Town Center Circle, Weston, Broward County, Florida, 33326, United States

    WESTON, FL 333263641

    Phone: (954) 389-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $460.

Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($106).

Total Amount

$460

General + Research + Ownership

Payments

12

Total payment records

General Amount

$460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-18

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
I20200218002631IPodiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33325)

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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: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

How do payers reference JOHN DOUGLAS GOODNER (DPM)?
For JOHN DOUGLAS GOODNER (DPM), use NPI 1003313271 as the unique 10-digit identifier.
Is JOHN DOUGLAS GOODNER (DPM) shown as active in public data?
Registry records indicate JOHN DOUGLAS GOODNER (DPM) maintains an active NPI.
What kind of doctor is JOHN DOUGLAS GOODNER (DPM)?
JOHN DOUGLAS GOODNER (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN DOUGLAS GOODNER (DPM)?
Travel planning: use Davie, Florida as the reference point for JOHN DOUGLAS GOODNER (DPM), then confirm.
Can I trust this NPI listing for JOHN DOUGLAS GOODNER (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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