JACK D GOLDSTEIN (M.D.1208) – Orthopaedic Surgery Physician, NPI 1245233261
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for JACK D GOLDSTEIN (M.D.1208)
Massasoit Avenue, Six Corners, East Providence, Providence County, Rhode Island, 02914, United States
SUITE 201
E PROVIDENCE, RI 029142012
Phone: (401) 919-5222
Fax: (401) 919-5227
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $9,455.
Total Amount is formed as General ($9,455) + Research ($0) + Ownership ($0) = $9,455.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Olympus America Inc. ($9,356).
Total Amount
$9,455
General + Research + Ownership
Payments
3
Total payment records
General Amount
$9,455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $9,356 |
| Stryker Corporation | $75 |
| DePuy Synthes Sales Inc. | $24 |
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: 2008-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040210000392 | I | Orthopedic Surgery | RI | TBD |
| I20080130000273 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 283 | 141 | $0 |
| 73562 | X-ray of knee, 3 views | 138 | 76 | $0 |
| 73502 | X-ray of hip, 2-3 views | 68 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 57 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 61 | 37 | $0 |
Insurance plans in this area (ZIP 02914)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | RI | 73562 | X-ray of knee, 3 views | 165 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.