DIANA JEANNE GOODMAN (MD) – Neurology Physician, NPI 1245457514

DIANA JEANNE GOODMAN (MD) is a healthcare provider. based in South portland, Maine. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. LP01025 (RI). The NPI Number for DIANA JEANNE GOODMAN (MD) is 1245457514

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DIANA JEANNE GOODMAN (MD)
NPI
1245457514
Phone
(207) 661-2000
Address
300 SOUTHBOROUGH DR
Enumeration Date
19 April 2007
Last Update Date
18 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
2078859905
Graduation Year
2006 (20 years ago)
PAC ID
7113182866
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20160418000382
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:19State licenses:5Digital endpointsOther names

94 NEUROLOGY in ME

Provider Addresses for DIANA JEANNE GOODMAN (MD)

  • 300 SOUTHBOROUGH DR

    SUITE 201

    SOUTH PORTLAND, ME 041066914

    Phone: (207) 661-2000

    Type: Mailing

  • 49 SPRING ST

    SCARBOROUGH, ME 040748926

    Phone: (207) 883-1414

    Fax: (207) 883-1010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Imperative Care, Inc ($180).

Total Amount

$180

General + Research + Ownership

Payments

2

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Imperative Care, Inc$180
View all Open Payments →|Open Payments Risk Radar →

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: 2016-04-18

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
I20160418000382INeurologyMETBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6564$0
99291Critical care, first 30-74 minutes3030$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Does DIANA JEANNE GOODMAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DIANA JEANNE GOODMAN (MD) uses 1245457514.
Can I rely on DIANA JEANNE GOODMAN (MD) being an active provider?
As of the registry snapshot, DIANA JEANNE GOODMAN (MD) is marked active.
What is DIANA JEANNE GOODMAN (MD)'s specialty?
The listing groups DIANA JEANNE GOODMAN (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DIANA JEANNE GOODMAN (MD) list a practice location?
Patients near South Portland, Maine may find DIANA JEANNE GOODMAN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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