MR. GREG GOODWIN (PA-C) – Athletic Trainer, NPI 1013167634

MR. GREG GOODWIN (PA-C) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4517 (MA). The NPI Number for MR. GREG GOODWIN (PA-C) is 1013167634

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. GREG GOODWIN (PA-C)
NPI
1013167634
Phone
(508) 973-2000
Address
200 MILL RD STE 180
Enumeration Date
19 September 2008
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089731570
Graduation Year
2012 (14 years ago)
PAC ID
3870745805
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20121220000135
Address ID
MA027774119SW479XXDRXX400

Contacts

Secure Messaging
ggoodwin43966@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MR. GREG GOODWIN (PA-C)

  • 180, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 479, Swansea Mall Drive, Swansea, Bristol County, Massachusetts, 02777, United States

    SWANSEA, MA 027774119

    Phone: (508) 973-1550

    Fax: (508) 973-0386

    Type: Location

  • 1565 N MAIN ST

    FALL RIVER, MA 027202972

    Phone: (508) 973-2211

    Fax: (508) 973-9885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $10.

Total Amount is formed as General ($10) + Research ($0) + Ownership ($0) = $10.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: MEDELA LLC ($10).

Total Amount

$10

General + Research + Ownership

Payments

1

Total payment records

General Amount

$10

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MEDELA LLC$10
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: 2019-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121220000135IPhysician AssistantMATBD
I20190221002912IPhysician AssistantRITBD

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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,82427$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg984142$0
99214Established patient office or other outpatient visit, 30-39 minutes353261$0
20610Aspiration and/or injection of fluid from large joint241164$0
99213Established patient office or other outpatient visit, 20-29 minutes231161$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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Provider's Procedures

MR. GREG GOODWIN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMA20610Aspiration and/or injection of large joint or joint capsule2323

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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is the registry number for MR. GREG GOODWIN (PA-C)?
The registry entry for MR. GREG GOODWIN (PA-C) shows NPI 1013167634.
Quick check: is MR. GREG GOODWIN (PA-C) active?
Public NPPES data shows MR. GREG GOODWIN (PA-C) with an active NPI status right now.
How should patients interpret MR. GREG GOODWIN (PA-C)'s specialty?
The extract shows Athletic Trainer for MR. GREG GOODWIN (PA-C). Clinical services aligned with this taxonomy classification.
Is MR. GREG GOODWIN (PA-C) tied to Fairhaven, Massachusetts?
If you are local to Fairhaven, Massachusetts, MR. GREG GOODWIN (PA-C) may be relevant to your search.
Why is information missing for MR. GREG GOODWIN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.