MICHAEL DOUGLAS GOETZ (PA-C) – Physician Assistant, NPI 1689183253

MICHAEL DOUGLAS GOETZ (PA-C) is a healthcare provider. based in Trinity, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MICHAEL DOUGLAS GOETZ (PA-C) is 1689183253

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL DOUGLAS GOETZ (PA-C)
NPI
1689183253
Phone
(727) 372-6637
Address
2165 LITTLE RD
Enumeration Date
26 September 2017
Last Update Date
5 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4587921333
Group Practice PAC ID
7416051016
Professional Enrollment ID
I20171202000020
Address ID
FL335563445OD2040XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MICHAEL DOUGLAS GOETZ (PA-C)

  • Little Road, Trinity, Pasco County, Florida, 34655, United States

    TRINITY, FL 346554410

    Phone: (727) 372-6637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

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: 2017-12-02

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
I20171202000020IPhysician 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.

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

Insurance plans in this area (ZIP 34655)

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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: 7416051016View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
-FL
Anesthesiology, Pain ManagementFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does MICHAEL DOUGLAS GOETZ (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL DOUGLAS GOETZ (PA-C) uses 1689183253.
Is MICHAEL DOUGLAS GOETZ (PA-C) still practicing?
MICHAEL DOUGLAS GOETZ (PA-C) is currently listed as active in the public NPI registry.
What is MICHAEL DOUGLAS GOETZ (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MICHAEL DOUGLAS GOETZ (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does MICHAEL DOUGLAS GOETZ (PA-C) serve?
MICHAEL DOUGLAS GOETZ (PA-C)'s listing highlights Trinity, Florida; more addresses can appear in NPPES.
Is the information about MICHAEL DOUGLAS GOETZ (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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