SUSAN A. GOOTNICK (M.D.) – Diagnostic Radiology Physician, NPI 1386714905
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for SUSAN A. GOOTNICK (M.D.)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
329, Goodhill Road, Kentfield, Marin County, California, 94904, United States
KENTFIELD, CA 949042611
Phone: (952) 595-1100
Fax: (612) 294-4903
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070815000646 | I | Diagnostic Radiology | CA | TBD |
| I20110907000794 | I | Diagnostic Radiology | GA | TBD |
| I20250827000193 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 148 | 127 | $0 |
| 70450 | Ct scan head or brain without contrast | 118 | 114 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 78 | 75 | $0 |
| 71250 | Ct scan of chest without contrast | 41 | 41 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 40 | 40 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 34 | 34 |
| DIAGNOSTIC RADIOLOGY | CA | 73110 | X-ray of wrist, minimum of 3 views | 15 | 14 |
| DIAGNOSTIC RADIOLOGY | CA | 73562 | X-ray of knee, 3 views | 56 | 46 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 39 | 27 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 60 | 58 |
| DIAGNOSTIC RADIOLOGY | CA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Nuclear Medicine | NJ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | AZ | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | HI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | PA |
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