DR. SCOTT T GOODRICH (M.D.) – Gynecologic Oncology Physician, NPI 1083748966
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for DR. SCOTT T GOODRICH (M.D.)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-6013
Type: Mailing
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Phone: (833) 724-8326
Fax: (260) 266-8941
Type: Location
315 W Old Key Dr Ste 140
Peru, IN 469709058
Phone: (260) 436-0800
Type: Location
1100 Mercer Ave
Decatur, IN 467332303
Phone: (260) 436-0800
Type: Location
737 N Detroit St
Warsaw, IN 465802985
Phone: (260) 436-0800
Type: Location
PO BOX 749495
ATLANTA, GA 303749495
Phone: (855) 963-2100
Fax: (239) 236-2775
Type: Mailing
2514 E DUPONT RD STE 100
FORT WAYNE, IN 468251619
Phone: (260) 484-8830
Fax: (260) 483-1911
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $686.
Total Amount is formed as General ($686) + Research ($0) + Ownership ($0) = $686.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).
Total Amount
$686
General + Research + Ownership
Payments
8
Total payment records
General Amount
$686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $140 |
| ABBVIE INC. | $132 |
| Seagen Inc. | $122 |
| Intuitive Surgical, Inc. | $114 |
| GlaxoSmithKline, LLC. | $90 |
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: 2024-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170516000848 | I | Gynecological Oncology | IN | TBD |
| I20240517002130 | I | Gynecological Oncology | SD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 158 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 18 | 18 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 12 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SD | |
| - | SD | |
| Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac Surgery | SC | |
| - | SD | |
| - | SD | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | SD | |
| - | SD | |
| U R O L O G Y | KS |
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