DR. PATRICK GLENN GOODMAN (MD) – Pain Medicine Physician, NPI 1639392558

DR. PATRICK GLENN GOODMAN (MD) is a healthcare provider. based in Tifton, Georgia. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 59158 (GA). The NPI Number for DR. PATRICK GLENN GOODMAN (MD) is 1639392558

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK GLENN GOODMAN (MD)
NPI
1639392558
Phone
(229) 238-0265
Address
2773 MARSHALL DR
Enumeration Date
10 April 2007
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2293912910
Graduation Year
2004 (22 years ago)
PAC ID
6800966706
Group Practice PAC ID
1850544289
Professional Enrollment ID
I20080604000373
Address ID
GA317941697TI39XXXRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

Provider Addresses for DR. PATRICK GLENN GOODMAN (MD)

  • 2773 MARSHALL DR

    TIFTON, GA 317938101

    Phone: (229) 238-0265

    Fax: (229) 238-0953

    Type: Mailing

  • 1493 KENNEDY RD

    TIFTON, GA 317944161

    Phone: (229) 391-2910

    Fax: (229) 238-0124

    Type: Location

  • PO BOX 7083

    TIFTON, GA 317937083

    Phone: (229) 391-2910

    Fax: (229) 238-0953

    Type: Mailing

  • 39 KENT RD STE 8

    TIFTON, GA 317941697

    Phone: (229) 391-2910

    Fax: (229) 386-4770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,930.

Total Amount is formed as General ($1,930) + Research ($0) + Ownership ($0) = $1,930.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($650).

Total Amount

$1,930

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,930

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2008-06-04

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
I20080604000373IAnesthesiologyGATBD

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 minutes646257$0
99214Established patient office or other outpatient visit, 30-39 minutes508219$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg33379$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level183123$0
J1885Injection, ketorolac tromethamine, per 15 mg13751$0
View full utilization report →

Insurance plans in this area (ZIP 31793)

Loading plans...

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: 1850544289View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. PATRICK GLENN GOODMAN (MD) using NPI 1639392558?
NPI 1639392558 belongs to DR. PATRICK GLENN GOODMAN (MD); compare other details if you need extra assurance.
Is DR. PATRICK GLENN GOODMAN (MD) shown as active in public data?
Registry records indicate DR. PATRICK GLENN GOODMAN (MD) maintains an active NPI.
What expertise is attributed to DR. PATRICK GLENN GOODMAN (MD)?
DR. PATRICK GLENN GOODMAN (MD)'s specialty line reads Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PATRICK GLENN GOODMAN (MD)?
Travel planning: use Tifton, Georgia as the reference point for DR. PATRICK GLENN GOODMAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DR. YONG S. LEE (MD)

Physical Medicine & Rehabilitation Physician
3672 MARATHON CIRCLE
NPI: 1952304933

DR. LORI DUNN (D.O.)

Pain Medicine (Anesthesiology) Physician
1023 HOLTS FERRY
NPI: 1619976578

SUBODH K AGRAWAL (MD)

Cardiovascular Disease Physician
1999 Prince Ave
NPI: 1366443640

MICHAEL KROLL (MD)

Pain Medicine Physician
Heritage Walk, Indian Valley Estates, Woodstock, Cherokee County, Georgia, 30188-3915, United States
NPI: 1538160627

DR. MARKUS NIEDERWANGER (MD)

Physical Medicine & Rehabilitation Physician
257 S Main St
NPI: 1508858887