MR. JAMES A II GOUDY (MD) – Internal Medicine Physician, NPI 1154301471
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for MR. JAMES A II GOUDY (MD)
PO BOX 607
GALION, OH 44833
Phone: (419) 468-0511
Fax: (419) 468-8579
Type: Mailing
270, Portland Way South, Galion, Crawford County, Ohio, 44833, United States
GALION, OH 44833
Phone: (419) 468-8323
Fax: (419) 462-5567
Type: Location
700 N COLUMBUS ST
CRESTLINE, OH 448271455
Phone: (419) 468-0511
Fax: (419) 468-8579
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.
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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: 2004-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040206000975 | I | Internal Medicine | OH | 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 |
|---|---|---|---|---|
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 34 | 33 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 29 | 28 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 20 | 20 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | 15 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | 15 | $0 |
Insurance plans in this area (ZIP 44833)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 126 | 118 |
| INTERNAL MEDICINE | OH | 45378 | Diagnostic examination of large bowel using an endoscope | 89 | 87 |
| INTERNAL MEDICINE | OH | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 292 | 214 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal Medicine | OH | |
| E N D O C R I N O L O G Y | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Hospitalist, Internal Medicine | OH |
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