CHARLES M GOODEN (M.D.) – Surgery Physician, NPI 1558322016
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in AR
Provider Addresses for CHARLES M GOODEN (M.D.)
PO BOX 11449
BELFAST, ME 049154005
Phone: (479) 709-1924
Fax: (479) 709-7499
Type: Mailing
923 Lexington Ave
Fort Smith, AR 729014943
Phone: (479) 709-7350
Fax: (479) 709-7355
Type: Location
7001 ROGERS AVE STE 600
FORT SMITH, AR 729034073
Phone: (479) 573-3101
Fax: (479) 573-3102
Type: Location
923, Lexington Avenue, Fort Smith, Sebastian County, Arkansas, 72901, United States
FORT SMITH, AR 729014943
Phone: (479) 709-7350
Fax: (479) 709-7355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Innovation Technologies Inc ($55).
Total Amount
$87
General + Research + Ownership
Payments
4
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $55 |
| PolyNovo North America LLC | $18 |
| Boston Scientific Corporation | $14 |
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: 2010-08-04
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 |
|---|---|---|---|---|
| I20100804000091 | I | General Surgery | AR | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 11 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 15 | 15 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 04915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | AR | |
| - | AR | |
| Family Practice | IL | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | OK | |
| G A S T R O E N T E R O L O G Y | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
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