JUSTIN GOODEN (MD) – Pediatrics Physician, NPI 1205127982
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
167 PEDIATRIC MEDICINE in KS
Provider Addresses for JUSTIN GOODEN (MD)
1010 N. KANSAS
WCGME
WICHITA, KS 67214
Phone: (316) 962-3030
Type: Mailing
10346 E STONEGATE LN STE 100
WICHITA, KS 672062054
Phone: (316) 871-0995
Type: Mailing
550 N HILLSIDE ST
WICHITA, KS 672144910
Phone: (316) 962-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 150 Open Payments records for all available years, with a total value of $4,136.
Total Amount is formed as General ($4,136) + Research ($0) + Ownership ($0) = $4,136.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Kerecis Limited ($1,155).
Total Amount
$4,136
General + Research + Ownership
Payments
150
Total payment records
General Amount
$4,136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $1,155 |
| Smith+Nephew, Inc. | $1,011 |
| Organogenesis Inc. | $552 |
| MIMEDX Group, Inc. | $360 |
| ConvaTec Inc. | $202 |
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: 2014-04-08
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 |
|---|---|---|---|---|
| I20140408002138 | I | Pediatric Medicine | KS | 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 |
|---|---|---|---|---|
| Q4159 | Affinity, per square centimeter | 16,665 | 45 | $0 |
| Q4197 | Puraply xt, per square centimeter | 8,235 | 48 | $0 |
| Q4158 | Kerecis omega3, per square centimeter | 4,617 | 69 | $0 |
| Q4186 | Epifix, per square centimeter | 1,694 | 28 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 1,448 | 141 | $0 |
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | KS |
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