MR. MARC JAMES GOEDERS (PA) – Surgical Physician Assistant, NPI 1639130057
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for MR. MARC JAMES GOEDERS (PA)
12129 UNIVERSITY AVE STE 100
CLIVE, IA 503258287
Phone: (515) 400-3550
Type: Location
450, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States
STE A
DES MOINES, IA 503143045
Phone: (515) 247-8400
Fax: (515) 248-8888
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $710.
Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($228).
Total Amount
$710
General + Research + Ownership
Payments
26
Total payment records
General Amount
$710
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $228 |
| Myriad Genetic Laboratories, Inc. | $156 |
| ABBVIE INC. | $44 |
| DePuy Synthes Sales Inc. | $44 |
| Astellas Pharma US Inc | $30 |
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: 2003-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031210001149 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 98 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 60 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 56 | 55 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 28 | $0 |
Insurance plans in this area (ZIP 50325)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IA | 73562 | X-ray of knee, 3 views | 297 | 195 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA |
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