STEFANIE A GOODRICH (PA) – Physician Assistant, NPI 1689665135
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for STEFANIE A GOODRICH (PA)
153, East Washington Street, North Attleborough, Bristol County, Massachusetts, 02760, United States
N ATTLEBORO, MA 027602312
Phone: (508) 699-7546
Fax: (508) 699-7570
Type: Mailing
100, Martin Luther King Jr. Boulevard, Central Business District, Lincoln Square, Central Business District, Worcester, Worcester County, Massachusetts, 01605, United States
WORCESTER, MA 016081209
Phone: (508) 754-3823
Fax: (508) 753-0151
Type: Location
100 MARTIN LUTHER KING JR BLVD
WORCESTER, MA 016801209
Phone: (508) 754-3823
Fax: (508) 753-0151
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 240 Open Payments records for all available years, with a total value of $6,055.
Total Amount is formed as General ($6,055) + Research ($0) + Ownership ($0) = $6,055.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,581).
Total Amount
$6,055
General + Research + Ownership
Payments
240
Total payment records
General Amount
$6,055
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,581 |
| ABBVIE INC. | $850 |
| E.R. Squibb & Sons, L.L.C. | $450 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $326 |
| Incyte Corporation | $240 |
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: 2005-01-19
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 |
|---|---|---|---|---|
| I20050119000648 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 810 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 372 | 329 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 188 | 170 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 177 | 155 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 118 | 113 | $0 |
Insurance plans in this area (ZIP 02760)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MA | 11101 | Biopsy of each additional growth of skin and/or tissue | 28 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA |
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