JEAN RICCI GOODMAN (MD) – Maternal & Fetal Medicine Physician, NPI 1447228093
Maternal & Fetal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for JEAN RICCI GOODMAN (MD)
3870 Columbia Ave
Osage Beach, MO 650658689
Phone: (573) 406-2662
Type: Location
1020 HITT ST
COLUMBIA, MO 652120001
Phone: (573) 499-6041
Fax: (573) 499-6091
Type: Location
500 N KEENE ST STE 406
COLUMBIA, MO 652018104
Phone: (573) 499-6041
Fax: (573) 499-6091
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
DEPT OBGYN LOYOLA MEDICAL CENTER
MAYWOOD, IL 601533328
Phone: (708) 216-8395
Fax: (708) 216-6288
Type: Mailing
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: 2021-11-22
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 |
|---|---|---|---|---|
| I20211122001654 | I | Obstetrics/Gynecology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
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