HAYLEY GOLDBACH (M.D.) – Dermatology Physician, NPI 1154701019
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 DERMATOLOGY in RI
Provider Addresses for HAYLEY GOLDBACH (M.D.)
3401 CIVIC CENTER BLVD
THE CHILDREN'S HOSPITAL OF PHILADELPHIA 9NW ROOM 55
PHILADELPHIA, PA 191044319
Phone:
Type: Mailing
593 EDDY STREET
AMBULATORY PATIENT CENTER APC 10
PROVIDENCE, RI 029034626
Phone: (401) 444-7959
Fax: (401) 444-7144
Type: Location
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: 2020-11-20
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 |
|---|---|---|---|---|
| I20201120000248 | I | Dermatology | RI | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 213 | 189 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 111 | 90 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 97 | 22 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 95 | 86 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 75 | 68 | $0 |
Insurance plans in this area (ZIP 19104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| - | RI | |
| Internal Medicine | RI | |
| Internal Medicine | RI | |
| - | RI | |
| Internal Medicine | RI | |
| P S Y C H I A T R Y | MI | |
| - | RI | |
| - | RI | |
| P S Y C H I A T R Y | RI |
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