DR. MICHAEL J GOLDBERG (O.D.) – Optometrist, NPI 1205843760

DR. MICHAEL J GOLDBERG (O.D.) is a healthcare provider. based in Port st lucie, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. FL3709 (FL). The NPI Number for DR. MICHAEL J GOLDBERG (O.D.) is 1205843760

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL J GOLDBERG (O.D.)
NPI
1205843760
Phone
(772) 345-1500
Address
10050 SW Innovation Way Ste 101
Enumeration Date
1 August 2006
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722835020
Graduation Year
2000 (26 years ago)
PAC ID
8921083510
Group Practice PAC ID
4183839277
Professional Enrollment ID
I20040619000032
Address ID
FL349944512ST1050XRDXX441
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. MICHAEL J GOLDBERG (O.D.)

  • 10050 SW Innovation Way Ste 101

    Port St Lucie, FL 349872117

    Phone: (772) 345-1500

    Type: Location

  • 11530 SW Village Pkwy #103

    Port St Lucie, FL 34987

    Phone: (772) 345-1500

    Type: Location

  • 600 University Blvd Ste 100

    Jupiter, FL 334582778

    Phone: (561) 839-2780

    Type: Location

  • 7593 Boynton Beach Blvd Ste 280

    Boynton Beach, FL 334376163

    Phone: (561) 732-8005

    Type: Location

  • 1515 N Flagler Dr Ste 500

    West Palm Beach, FL 334013430

    Phone: (561) 659-9700

    Type: Location

  • Northwest Federal Highway, Jensen Beach, Martin County, Florida, 34957-3552, United States

    JENSEN BEACH, FL 349574402

    Phone: (772) 692-9526

    Fax: (772) 692-9472

    Type: Mailing

  • PO BOX 947665

    ATLANTA, GA 303947665

    Phone: (772) 283-2020

    Fax: (772) 219-7924

    Type: Mailing

  • 1050 SE MONTEREY RD STE 104

    STUART, FL 349944512

    Phone: (772) 283-2020

    Fax: (772) 219-7924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $979.

Total Amount is formed as General ($979) + Research ($0) + Ownership ($0) = $979.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: RxSight Inc ($274).

Total Amount

$979

General + Research + Ownership

Payments

23

Total payment records

General Amount

$979

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

Latest reported date

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: 2004-06-19

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
I20040619000032IOptometryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes389262$0
92014Established patient complete exam of visual system183183$0
92250Photography of the retina171156$0
92004New patient complete exam of visual system129129$0
92083Exam of visual field with extended testing11388$0
View full utilization report →

Insurance plans in this area (ZIP 34987)

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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: 4183839277View full group profile
NameSpecialtyState
O P T O M E T R YFL
-FL

Reviews

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Frequently asked questions

What is DR. MICHAEL J GOLDBERG (O.D.)'s NPI number?
DR. MICHAEL J GOLDBERG (O.D.)'s NPI is 1205843760 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. MICHAEL J GOLDBERG (O.D.)?
You should see DR. MICHAEL J GOLDBERG (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MICHAEL J GOLDBERG (O.D.)?
At a glance, DR. MICHAEL J GOLDBERG (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. MICHAEL J GOLDBERG (O.D.) registered?
Use Port St Lucie, Florida as the headline location for DR. MICHAEL J GOLDBERG (O.D.) here.
When was this NPI issued?
Enumeration for DR. MICHAEL J GOLDBERG (O.D.) is noted as August 1, 2006 where the registry provides it.

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