WILL GOODRICH (D.O.) – Medical Toxicology (Emergency Medicine) Physician, NPI 1063953909
Medical Toxicology (Emergency Medicine) Physician
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NPPES metrics only — not quality of care.
1,497 EMERGENCY MEDICINE in VA
Provider Addresses for WILL GOODRICH (D.O.)
5310 E 31ST ST FL 13
TULSA, OK 74135
Phone:
Type: Mailing
Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279020
Phone:
Type: Mailing
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-2231
Fax: (434) 924-9285
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: 2021-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180803002060 | I | Emergency Medicine | OK | TBD |
| I20210707003785 | I | Emergency Medicine | VA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 143 | 133 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 60 | 56 | $0 |
| 99291 | Critical care, first 30-74 minutes | 56 | 52 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 17 | 17 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 14 | 14 | $0 |
Insurance plans in this area (ZIP 74135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| Neurology, Psychiatry | OK | |
| - | OK | |
| Emergency Medicine | OK | |
| Family Practice | OK | |
| Internal Medicine | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Clinical Psychologist | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | OK |
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