DR. STEPHANIE R GOGGIN (OD) – Optometrist, NPI 1013965367

DR. STEPHANIE R GOGGIN (OD) is a healthcare provider. based in Edwardsville, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046-009281 (IL). The NPI Number for DR. STEPHANIE R GOGGIN (OD) is 1013965367

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE R GOGGIN (OD)
NPI
1013965367
Phone
(618) 659-1900
Address
6620 CENTER GROVE RD
Enumeration Date
5 May 2006
Last Update Date
8 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6186591900
Graduation Year
2000 (26 years ago)
PAC ID
6204836208
Group Practice PAC ID
0244256014
Professional Enrollment ID
I20061221000355
Address ID
IL620252802ED6620XRDXX400
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

1,715 OPTOMETRY in IL

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Provider Addresses for DR. STEPHANIE R GOGGIN (OD)

  • 6620, Center Grove Road, Edwardsville, Madison County, Illinois, 62025, United States

    SUITE 3

    EDWARDSVILLE, IL 620252802

    Phone: (618) 659-1900

    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 48 Open Payments records for all available years, with a total value of $859.

Total Amount is formed as General ($859) + Research ($0) + Ownership ($0) = $859.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($369).

Total Amount

$859

General + Research + Ownership

Payments

48

Total payment records

General Amount

$859

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2006-12-21

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
I20061221000355IOptometryILTBD

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
92014Established patient complete exam of visual system4545$0
99212Established patient office or other outpatient visit, 10-19 minutes1918$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

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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: 0244256014View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. STEPHANIE R GOGGIN (OD)'s NPI?
Yes. DR. STEPHANIE R GOGGIN (OD) is listed with NPI 1013965367 in the public NPI dataset.
Can I rely on DR. STEPHANIE R GOGGIN (OD) being an active provider?
As of the registry snapshot, DR. STEPHANIE R GOGGIN (OD) is marked active.
What healthcare role does DR. STEPHANIE R GOGGIN (OD) hold?
Scheduling teams often label DR. STEPHANIE R GOGGIN (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. STEPHANIE R GOGGIN (OD) based?
DR. STEPHANIE R GOGGIN (OD) is tied to Edwardsville, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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