JOHN W GOULART (DO) – Surgery Physician, NPI 1417957085
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHN W GOULART (DO)
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
280
OKLAHOMA CITY, OK 731125556
Phone: (580) 234-2289
Fax: (580) 249-4350
Type: Mailing
620, South Madison Street, Enid, Garfield County, Oklahoma, 73701, United States
SUITE 108
ENID, OK 737017270
Phone: (580) 234-2289
Fax: (580) 249-4350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Medtronic, Inc. ($127).
Total Amount
$146
General + Research + Ownership
Payments
2
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $127 |
| Myriad Genetic Laboratories, Inc. | $19 |
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: 2004-07-16
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 |
|---|---|---|---|---|
| I20040716000665 | I | General Surgery | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | 22 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | 43 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 27 | $0 |
Insurance plans in this area (ZIP 73112)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| - | OK | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| H O S P I T A L I S T | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| - | OK |
Reviews
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