SCOTT O GOEBEL (PA-C) – Physician Assistant, NPI 1134576572

SCOTT O GOEBEL (PA-C) is a healthcare provider. based in Roseburg, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SCOTT O GOEBEL (PA-C) is 1134576572

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT O GOEBEL (PA-C)
NPI
1134576572
Phone
(541) 677-7200
Address
2570 NW EDENBOWER BLVD STE 100
Enumeration Date
16 May 2016
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416777200
Graduation Year
2017 (9 years ago)
PAC ID
5890051908
Group Practice PAC ID
9234397878
Professional Enrollment ID
I20171106002553
Address ID
OR974716214RO2570XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for SCOTT O GOEBEL (PA-C)

  • Northwest Edenbower Boulevard, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Novo Nordisk Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$14
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: 2017-11-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171106002553IPhysician AssistantORTBD

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
93246Heart rhythm recording of continous external ekg over 8-15 days1716$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1515$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days1515$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 9234397878View full group profile
NameSpecialtyState
Nurse PractitionerOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeOR
Internal Medicine, Pediatric Medicine, EndocrinologyOR
Physician AssistantOR
Hospitalist, Internal Medicine, Internal Medicine, HospitalistOR
Mental Health CounselorOR
Nurse PractitionerOR
Family PracticeOR

Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT O GOEBEL (PA-C)?
NPI 1134576572 is assigned to SCOTT O GOEBEL (PA-C) under the national enumeration system.
Is SCOTT O GOEBEL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SCOTT O GOEBEL (PA-C) treat or focus on?
Patients typically see SCOTT O GOEBEL (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT O GOEBEL (PA-C)?
The page summarizes Roseburg, Oregon for SCOTT O GOEBEL (PA-C); expand the address list for detail.
What if Roseburg, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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