DR. CAROLYN LEE GOEBEL (M.D.) – Family Medicine Physician, NPI 1073749164

DR. CAROLYN LEE GOEBEL (M.D.) is a healthcare provider. based in Beaverton, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD153478 (OR). The NPI Number for DR. CAROLYN LEE GOEBEL (M.D.) is 1073749164

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN LEE GOEBEL (M.D.)
NPI
1073749164
Phone
(503) 352-6000
Address
2935 SW CEDAR HILLS BLVD
Enumeration Date
3 June 2009
Last Update Date
15 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033526000
Graduation Year
2008 (18 years ago)
PAC ID
5395917629
Group Practice PAC ID
7113823881
Professional Enrollment ID
I20111011000370
Address ID
OR970051435BE2725XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. CAROLYN LEE GOEBEL (M.D.)

  • Virginia Garcia Beaverton Clinic, 2935, Southwest Cedar Hills Boulevard, Central Beaverton, Beaverton, Metro, Washington County, Oregon, 97005, United States

    BEAVERTON, OR 970051342

    Phone: (503) 352-6000

    Mailing address matches the actual address.

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: 2011-10-11

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
I20111011000370IFamily PracticeORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97005)

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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: 7113823881View full group profile

Reviews

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Frequently asked questions

What is DR. CAROLYN LEE GOEBEL (M.D.)'s NPI number?
DR. CAROLYN LEE GOEBEL (M.D.)'s NPI is 1073749164 — the number used across U.S. healthcare to identify this provider.
Is DR. CAROLYN LEE GOEBEL (M.D.) still an active registrant?
DR. CAROLYN LEE GOEBEL (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. CAROLYN LEE GOEBEL (M.D.)?
DR. CAROLYN LEE GOEBEL (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CAROLYN LEE GOEBEL (M.D.) located near Beaverton?
DR. CAROLYN LEE GOEBEL (M.D.) currently maps to Beaverton, Oregon in this extract.
Can I trust this NPI listing for DR. CAROLYN LEE GOEBEL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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