DR. IAN P GOODMAN (M.D.) – Orthopaedic Surgery Physician, NPI 1134495666

DR. IAN P GOODMAN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 27449 (NE). The NPI Number for DR. IAN P GOODMAN (M.D.) is 1134495666

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN P GOODMAN (M.D.)
NPI
1134495666
Phone
(904) 450-6014
Address
4205 BELFORT RD STE 4015
Enumeration Date
29 March 2012
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183921513
Graduation Year
2012 (14 years ago)
PAC ID
5799059705
Group Practice PAC ID
9335033802
Professional Enrollment ID
I20220711001590
Address ID
OK740554674OW12455NXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for DR. IAN P GOODMAN (M.D.)

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6014

    Fax: (904) 450-6401

    Type: Mailing

  • 4121 W HIGHWAY 98

    PANAMA CITY, FL 324011170

    Phone: (850) 914-7060

    Fax: (850) 914-7065

    Type: Location

  • 4802 S 109TH EAST AVE

    TULSA, OK 741465822

    Phone: (918) 392-1400

    Fax: (918) 392-1488

    Type: Mailing

  • 12455 E 100TH ST N

    OWASSO, OK 740554674

    Phone: (918) 272-9464

    Fax: (918) 272-9512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Stryker Corporation ($441).

Total Amount

$1,020

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2022-07-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171110002742IOrthopedic SurgeryFLTBD
I20220711001590IOrthopedic SurgeryOKTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg38664$0
99214Established patient office or other outpatient visit, 30-39 minutes162100$0
99204New patient office or other outpatient visit, 45-59 minutes107107$0
20610Aspiration and/or injection of fluid from large joint8262$0
73564X-ray of knee, 4 or more views5345$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 9335033802View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
R H E U M A T O L O G YOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK

Reviews

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Frequently asked questions

Where can patients find DR. IAN P GOODMAN (M.D.)'s NPI?
You can confirm DR. IAN P GOODMAN (M.D.) with NPI 1134495666; it appears in the national provider directory.
Is DR. IAN P GOODMAN (M.D.) currently active in the NPI registry?
CMS-published data lists DR. IAN P GOODMAN (M.D.) as an active registrant.
What field does DR. IAN P GOODMAN (M.D.) work in?
You can think of DR. IAN P GOODMAN (M.D.) as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. IAN P GOODMAN (M.D.)?
The page summarizes Jacksonville, Florida for DR. IAN P GOODMAN (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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