GARY S GOLDBERG (MD) – Urology Physician, NPI 1013995034

GARY S GOLDBERG (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 43508 (MN). The NPI Number for GARY S GOLDBERG (MD) is 1013995034

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GARY S GOLDBERG (MD)
NPI
1013995034
Phone
Not provided
Address
PO BOX 8674
Enumeration Date
9 January 2006
Last Update Date
10 July 2020

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5079342325
Graduation Year
1994 (32 years ago)
PAC ID
1355421009
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20100106000482
Address ID
MN560821763SA1901XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
garygoldberg@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

284 UROLOGY in MN

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Provider Addresses for GARY S GOLDBERG (MD)

  • Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    1230 E MAIN ST MANKATO CLINIC LTD

    MANKATO, MN 560028674

    Phone:

    Type: Mailing

  • Premiere Drive, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO CLINIC@ WICKERSHAM CAMPUS

    MANKATO, MN 560016076

    Phone: (507) 625-1811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $777.

Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teleflex LLC ($142).

Total Amount

$777

General + Research + Ownership

Payments

44

Total payment records

General Amount

$777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-06

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
I20100106000482IUrologyMNTBD

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
J0585Injection, onabotulinumtoxina, 1 unit1,70013$0
99214Established patient office or other outpatient visit, 30-39 minutes535435$0
36415Insertion of needle into vein for collection of blood sample258215$0
84153Psa (prostate specific antigen) measurement, total184150$0
99213Established patient office or other outpatient visit, 20-29 minutes133121$0
View full utilization report →

Insurance plans in this area (ZIP 56002)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

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Frequently asked questions

Is there an official ID for GARY S GOLDBERG (MD) in U.S. healthcare records?
The official identifier for GARY S GOLDBERG (MD) is NPI 1013995034.
Is there an active status for GARY S GOLDBERG (MD)?
For scheduling context, GARY S GOLDBERG (MD) is shown as active in the registry.
What kind of doctor is GARY S GOLDBERG (MD)?
GARY S GOLDBERG (MD) is associated with Urology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is GARY S GOLDBERG (MD) located near Mankato?
GARY S GOLDBERG (MD) currently maps to Mankato, Minnesota in this extract.
Can I trust this NPI listing for GARY S GOLDBERG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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