CONNY DALE GOODIN (MD) – Internal Medicine Physician, NPI 1902899065

CONNY DALE GOODIN (MD) is a healthcare provider. based in Versailles, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 20159 (KY). The NPI Number for CONNY DALE GOODIN (MD) is 1902899065

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
CONNY DALE GOODIN (MD)
NPI
1902899065
Phone
(859) 873-9843
Address
115 CROSSFIELD DR STE A
Enumeration Date
24 August 2005
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8592584568
Graduation Year
1978 (48 years ago)
PAC ID
2860441201
Group Practice PAC ID
3476457532
Professional Enrollment ID
I20050112001117
Address ID
KY405042701LE1225XBROA303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for CONNY DALE GOODIN (MD)

  • 115 CROSSFIELD DR STE A

    VERSAILLES, KY 403831845

    Phone: (859) 873-9843

    Fax: (859) 873-0972

    Type: Mailing

  • 2108, Nicholasville Road, WGPL, Lexington, Fayette County, Kentucky, 40503-1926, United States

    SUITE 100

    LEXINGTON, KY 405032502

    Phone: (859) 278-9413

    Fax: (859) 276-6381

    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: 2005-01-12

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
I20050112001117IInternal MedicineKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes375182$0
99214Established patient office or other outpatient visit, 30-39 minutes248172$0
83036Hemoglobin a1c level7347$0
99212Established patient office or other outpatient visit, 10-19 minutes6953$0
81003Automated urinalysis test4339$0
View full utilization report →

Insurance plans in this area (ZIP 40383)

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Provider's Procedures

CONNY DALE GOODIN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY82270Stool analysis for blood to screen for colon tumors4949
INTERNAL MEDICINEKY85610Blood test, clotting time25534

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: 3476457532View full group profile

Reviews

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Frequently asked questions

How do payers reference CONNY DALE GOODIN (MD)?
For CONNY DALE GOODIN (MD), use NPI 1902899065 as the unique 10-digit identifier.
Is CONNY DALE GOODIN (MD) shown as active in public data?
Registry records indicate CONNY DALE GOODIN (MD) maintains an active NPI.
What expertise is attributed to CONNY DALE GOODIN (MD)?
CONNY DALE GOODIN (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CONNY DALE GOODIN (MD) associated with Versailles?
Public fields place CONNY DALE GOODIN (MD) around Versailles, Kentucky. Always confirm the exact site before visiting.
Does CONNY DALE GOODIN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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