SHEILA R. GOFORTH (PA) – Medical Physician Assistant, NPI 1689626210

SHEILA R. GOFORTH (PA) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 897 (OK). The NPI Number for SHEILA R. GOFORTH (PA) is 1689626210

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SHEILA R. GOFORTH (PA)
NPI
1689626210
Phone
Not provided
Address
2411 SW 122ND ST
Enumeration Date
16 May 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057878550
Graduation Year
1998 (28 years ago)
PAC ID
8628071610
Group Practice PAC ID
8325950603
Professional Enrollment ID
I20060829000254
Address ID
OK730990037YU4400XBLVD304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for SHEILA R. GOFORTH (PA)

  • 2411, Southwest 122nd Street, Oklahoma City, Cleveland County, Oklahoma, 73170, United States

    OKLAHOMA CITY, OK 731704844

    Phone:

    Type: Mailing

  • 215, North Kansas Street, Weatherford, Custer County, Oklahoma, 73096, United States

    WEATHERFORD, OK 730965443

    Phone: (580) 772-5551

    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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($22).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-08-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060829000254IPhysician AssistantOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making229217$0
99285Emergency department visit with high level of medical decision making186183$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only111107$0
99283Emergency department visit with low level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 73170)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325950603View full group profile
NameSpecialtyState
-OK
Family PracticeOK
-OK
Nurse PractitionerOK
Family PracticeOK
Family PracticeOK
Nurse PractitionerOK
Family PracticeOK
Nurse PractitionerOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I cross-check SHEILA R. GOFORTH (PA) using NPI 1689626210?
NPI 1689626210 belongs to SHEILA R. GOFORTH (PA); compare other details if you need extra assurance.
Is there an active status for SHEILA R. GOFORTH (PA)?
For scheduling context, SHEILA R. GOFORTH (PA) is shown as active in the registry.
What kind of doctor is SHEILA R. GOFORTH (PA)?
SHEILA R. GOFORTH (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SHEILA R. GOFORTH (PA)?
Directory geography for SHEILA R. GOFORTH (PA) centers on Oklahoma City, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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