DR. MARK QUINCY GOODMAN (M.D.) – Sports Medicine (Emergency Medicine) Physician, NPI 1609018860
Sports Medicine (Emergency Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
Provider Addresses for DR. MARK QUINCY GOODMAN (M.D.)
1140 SW SIMPSON AVE STE 100
BEND, OR 977023789
Phone: (541) 388-2333
Fax: (541) 388-0930
Type: Mailing
Saint Charles Medical Center Redmond, 1253, Northwest Canal Boulevard, Redmond, Deschutes County, Oregon, 97756, United States
REDMOND, OR 977561334
Phone: (541) 548-8131
Fax: (541) 526-6608
Type: Location
Desert Orthopedics, 1303, Northeast Cushing Drive, Bend, Deschutes County, Oregon, 97701, United States
STE 100
BEND, OR 97701
Phone: (541) 908-1217
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $487.
Total Amount is formed as General ($487) + Research ($0) + Ownership ($0) = $487.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Abbott Laboratories ($210).
Total Amount
$487
General + Research + Ownership
Payments
26
Total payment records
General Amount
$487
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $210 |
| Boston Scientific Corporation | $61 |
| Bioventus LLC | $49 |
| Vertos Medical, Inc. | $46 |
| Nevro Corp. | $31 |
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: 2013-02-15
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 |
|---|---|---|---|---|
| I20130215000251 | I | Emergency Medicine | OR | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 843 | 175 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 363 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 156 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 220 | 93 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 189 | 129 | $0 |
Insurance plans in this area (ZIP 97702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| A N E S T H E S I O L O G Y | OR | |
| Physical Medicine And Rehabilitation | OR | |
| Physical Medicine And Rehabilitation | OR | |
| Physician Assistant | OR |
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