DR. SHAWN GOODMAN (M.D.) – Ophthalmology Physician, NPI 1861448177

DR. SHAWN GOODMAN (M.D.) is a healthcare provider. based in Tigard, Oregon. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. MD13455 (OR). The NPI Number for DR. SHAWN GOODMAN (M.D.) is 1861448177

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN GOODMAN (M.D.)
NPI
1861448177
Phone
(503) 634-4436
Address
9735 SW SHADY LANE
Enumeration Date
26 May 2006
Last Update Date
15 August 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
5036354436
Graduation Year
1977 (49 years ago)
PAC ID
6901989169
Group Practice PAC ID
6002999257
Professional Enrollment ID
I20101028000380
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. SHAWN GOODMAN (M.D.)

  • 9735, Southwest Shady Lane, Greenburg Road, Tigard, Washington County, Oregon, 97223, United States

    SUITE 203

    TIGARD, OR 97223

    Phone: (503) 634-4436

    Fax: (503) 635-7356

    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: 2010-10-28

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
I20101028000380IOphthalmologyORTBD

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 97223)

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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: 6002999257View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

What is the registry number for DR. SHAWN GOODMAN (M.D.)?
The registry entry for DR. SHAWN GOODMAN (M.D.) shows NPI 1861448177.
Should I treat DR. SHAWN GOODMAN (M.D.) as an active provider?
Patients and plans typically see DR. SHAWN GOODMAN (M.D.) as active in the national extract.
How should patients interpret DR. SHAWN GOODMAN (M.D.)'s specialty?
The extract shows Ophthalmology Physician for DR. SHAWN GOODMAN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHAWN GOODMAN (M.D.)?
The directory associates DR. SHAWN GOODMAN (M.D.) with Tigard, Oregon. Check all listed addresses for suites or satellite offices.
Can I export DR. SHAWN GOODMAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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