WARREN T GOODMAN (MD) – Dermatology Physician, NPI 1316906746
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for WARREN T GOODMAN (MD)
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone: (651) 254-7580
Type: Mailing
14 St, 640, Jackson Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States
SAINT PAUL, MN 551012502
Phone: (651) 254-3448
Fax: (651) 254-3470
Type: Location
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: 2003-11-25
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 |
|---|---|---|---|---|
| I20031125000365 | I | Dermatology | MN | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,058 | 628 | $0 |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 144 | 35 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 75 | 46 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 65 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 34 | $0 |
Insurance plans in this area (ZIP 55425)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MN | 11101 | Biopsy of each additional growth of skin and/or tissue | 22 | 18 |
| DERMATOLOGY | MN | 17003 | Destruction of 2-14 skin growths | 129 | 17 |
| DERMATOLOGY | MN | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 50 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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