ARLEIGH GOODWIN (PA-C) – Physician Assistant, NPI 1508207812

ARLEIGH GOODWIN (PA-C) is a healthcare provider. based in Revere, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4735 (MA). The NPI Number for ARLEIGH GOODWIN (PA-C) is 1508207812

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ARLEIGH GOODWIN (PA-C)
NPI
1508207812
Phone
Not provided
Address
454 BROADWAY
Enumeration Date
15 July 2013
Last Update Date
23 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7814858222
Graduation Year
2013 (13 years ago)
PAC ID
0547494502
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20131004000329
Address ID
MA021513034RE454XXBROA200
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for ARLEIGH GOODWIN (PA-C)

  • 454 BROADWAY

    REVERE, MA 02151

    Phone:

    Mailing address matches the actual address.

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: 2013-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131004000329IPhysician AssistantMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6349$0
99213Established patient office or other outpatient visit, 20-29 minutes3028$0
99442Telephone medical discussion with physician, 11-20 minutes2620$0
View full utilization report →

Insurance plans in this area (ZIP 02151)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

Does ARLEIGH GOODWIN (PA-C) have a public NPI I can cite?
Public records show ARLEIGH GOODWIN (PA-C) under NPI 1508207812.
Is ARLEIGH GOODWIN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ARLEIGH GOODWIN (PA-C) as active.
Which specialty label fits ARLEIGH GOODWIN (PA-C)?
NPPES ties ARLEIGH GOODWIN (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ARLEIGH GOODWIN (PA-C)?
The directory associates ARLEIGH GOODWIN (PA-C) with Revere, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains ARLEIGH GOODWIN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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