OTTO GOYCO – Internal Medicine Physician, NPI 1013990431

OTTO GOYCO is a healthcare provider. based in Cumming, Georgia. specializing in INTERNAL MEDICINE. They hold a License No. 042473 (GA). The NPI Number for OTTO GOYCO is 1013990431

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
OTTO GOYCO
NPI
1013990431
Phone
(770) 781-8840
Address
900 SANDERS RD
Enumeration Date
21 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784749633
Graduation Year
1989 (37 years ago)
PAC ID
8325056575
Group Practice PAC ID
9638343924
Professional Enrollment ID
I20060329000417
Address ID
GA300249119SU3350XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for OTTO GOYCO

  • 900, Sanders Road, Cumming, Forsyth County, Georgia, 30041, United States

    SUITE B

    CUMMING, GA 300415960

    Phone: (770) 781-8840

    Fax: (770) 781-8098

    Type: Location

  • 4074 BOGAN BLUFF LN

    BUFORD, GA 305194501

    Phone: (678) 482-6886

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,247.

Total Amount is formed as General ($2,247) + Research ($0) + Ownership ($0) = $2,247.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Lilly USA, LLC ($349).

Total Amount

$2,247

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2006-03-29

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
I20060329000417IInternal MedicineGATBD

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 minutes849412$0
99214Established patient office or other outpatient visit, 30-39 minutes161125$0
81003Automated urinalysis test115108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit111111$0
90662Influenza vaccine split virus, preservative free7170$0
View full utilization report →

Insurance plans in this area (ZIP 30041)

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Provider's Procedures

OTTO GOYCO performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA20610Aspiration and/or injection of large joint or joint capsule1513

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: 9638343924View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerNC
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, EndocrinologyGA
-GA
-NV
N E U R O L O G YTX
-GA

Reviews

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Frequently asked questions

Is OTTO GOYCO listed with a National Provider Identifier?
Yes — OTTO GOYCO has NPI 1013990431 on file in the registry.
Active or inactive — what applies to OTTO GOYCO?
You should see OTTO GOYCO as active in CMS-hosted NPPES data.
What kind of doctor is OTTO GOYCO?
OTTO GOYCO is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is OTTO GOYCO associated with Cumming?
Public fields place OTTO GOYCO around Cumming, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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