MR. CHARLES GOODNOUGH (PA-C) – Surgical Physician Assistant, NPI 1578509865

MR. CHARLES GOODNOUGH (PA-C) is a healthcare provider. based in Ocoec, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9101745 (FL). The NPI Number for MR. CHARLES GOODNOUGH (PA-C) is 1578509865

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES GOODNOUGH (PA-C)
NPI
1578509865
Phone
(407) 649-8585
Address
2606 REW CR
Enumeration Date
22 June 2006
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
9234230806
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20070726000329
Address ID
FL328061134OR32XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. CHARLES GOODNOUGH (PA-C)

  • 2606 REW CR

    STE 100

    OCOEC, FL 34761

    Phone: (407) 649-8585

    Fax: (407) 649-0151

    Type: Location

  • 2606 Rew Cr

    Ste 100

    Ocoec, FL 34761

    Phone: (407) 649-8585

    Fax: (407) 649-0151

    Type: Location

  • Rew Circle, Ocoee, Orange County, Florida, 34761, United States

    STE 100

    OCOEE, FL 34761

    Phone: (407) 649-8585

    Fax: (407) 649-0151

    Type: Mailing

  • 10000 W COLONIAL DR

    OCOEE, FL 347613400

    Phone: (321) 841-7550

    Fax: (321) 841-8185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($98).

Total Amount

$371

General + Research + Ownership

Payments

17

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2007-07-26

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
I20070726000329IPhysician AssistantFLTBD

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 minutes8859$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 34761)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

Does MR. CHARLES GOODNOUGH (PA-C) have a public NPI I can cite?
Public records show MR. CHARLES GOODNOUGH (PA-C) under NPI 1578509865.
Quick check: is MR. CHARLES GOODNOUGH (PA-C) active?
Public NPPES data shows MR. CHARLES GOODNOUGH (PA-C) with an active NPI status right now.
Which specialty label fits MR. CHARLES GOODNOUGH (PA-C)?
NPPES ties MR. CHARLES GOODNOUGH (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. CHARLES GOODNOUGH (PA-C)?
MR. CHARLES GOODNOUGH (PA-C) is associated with Ocoec, Florida in the same public data insurers reference.
Who maintains MR. CHARLES GOODNOUGH (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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