DR. ROBERT G GOOD (DO) – Internal Medicine Physician, NPI 1639122922

DR. ROBERT G GOOD (DO) is a healthcare provider. based in Mattoon, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 036091669 (IL). The NPI Number for DR. ROBERT G GOOD (DO) is 1639122922

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT G GOOD (DO)
NPI
1639122922
Phone
(217) 258-5900
Address
200 LERNA ROAD SOUTH
Enumeration Date
18 May 2006
Last Update Date
11 June 2012

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2173476400
Graduation Year
1977 (49 years ago)
PAC ID
6204898125
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20041102000637
Address ID
IL624011881EF401XXDRXX403
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

8,828 INTERNAL MEDICINE in IL

Provider Addresses for DR. ROBERT G GOOD (DO)

  • 200 LERNA ROAD SOUTH

    MATTOON, IL 61938

    Phone: (217) 258-5900

    Fax: (217) 258-3686

    Type: Location

  • ESBU Bernardo Domínguez, Paseo, Vedado – Malecón, Plaza de la Revolución, Havana, 33100, Cuba

    URBANA, IL 618036002

    Phone: (217) 326-8300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-11-02

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
I20041102000637IInternal MedicineILTBD

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 61938)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT G GOOD (DO)?
The federal identifier for DR. ROBERT G GOOD (DO) is NPI 1639122922.
Is DR. ROBERT G GOOD (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ROBERT G GOOD (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. ROBERT G GOOD (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ROBERT G GOOD (DO)?
The snapshot lists Mattoon, Illinois for DR. ROBERT G GOOD (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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