JEFFREY HOWARD GOLDMAN (M.D.) – Gastroenterology Physician, NPI 1316039142

JEFFREY HOWARD GOLDMAN (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Gastroenterology Physician. They hold the professional credentials M.D.. They hold a License No. 4301095691 (MI). The NPI Number for JEFFREY HOWARD GOLDMAN (M.D.) is 1316039142

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY HOWARD GOLDMAN (M.D.)
NPI
1316039142
Phone
(231) 935-5710
Address
4100 PARK FOREST DR.
Enumeration Date
29 September 2006
Last Update Date
1 April 2010

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2313928705
Graduation Year
1989 (37 years ago)
PAC ID
7517044332
Group Practice PAC ID
2062403538
Professional Enrollment ID
I20100119000296
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEFFREY HOWARD GOLDMAN (M.D.)

  • Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States

    SUITE 208

    TRAVERSE CITY, MI 496842058

    Phone: (231) 935-5710

    Fax: (231) 935-9045

    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)

CMS reports 13 Open Payments records for all available years, with a total value of $953.

Total Amount is formed as General ($953) + Research ($0) + Ownership ($0) = $953.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($335).

Total Amount

$953

General + Research + Ownership

Payments

13

Total payment records

General Amount

$953

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

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: 2010-01-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100119000296IGastroenterologyMITBD

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
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito345327$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare205205$0
99214Established patient office or other outpatient visit, 30-39 minutes119103$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope10195$0
45380Biopsy of large bowel using a flexible endoscope6464$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Provider's Procedures

JEFFREY HOWARD GOLDMAN (M.D.) performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2222

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: 2062403538View full group profile

Reviews

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Frequently asked questions

Does JEFFREY HOWARD GOLDMAN (M.D.) have a public NPI I can cite?
Public records show JEFFREY HOWARD GOLDMAN (M.D.) under NPI 1316039142.
Should I treat JEFFREY HOWARD GOLDMAN (M.D.) as an active provider?
Patients and plans typically see JEFFREY HOWARD GOLDMAN (M.D.) as active in the national extract.
How should patients interpret JEFFREY HOWARD GOLDMAN (M.D.)'s specialty?
The extract shows Gastroenterology Physician for JEFFREY HOWARD GOLDMAN (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit JEFFREY HOWARD GOLDMAN (M.D.) in Traverse City, Michigan?
For routing, start with Traverse City, Michigan for JEFFREY HOWARD GOLDMAN (M.D.), then verify phone and hours locally.
Who maintains JEFFREY HOWARD GOLDMAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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