KEITH L. GOLDBERG (MD) – Surgery Physician, NPI 1528009149
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
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Provider Addresses for KEITH L. GOLDBERG (MD)
Northcrest Drive, Springfield, Robertson County, Middle Tennessee, Tennessee, 37172, United States
SPRINGFIELD, TN 371723973
Phone: (615) 384-8211
Fax: (615) 384-5859
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 16 Open Payments records for all available years, with a total value of $1,379.
Total Amount is formed as General ($1,379) + Research ($0) + Ownership ($0) = $1,379.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Endogastric Solutions, Inc ($914).
Total Amount
$1,379
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endogastric Solutions, Inc | $914 |
| Davol Inc. | $160 |
| ABBVIE INC. | $160 |
| Hologic Sales and Service, LLC | $52 |
| Smith+Nephew, Inc. | $35 |
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: 2006-08-18
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 |
|---|---|---|---|---|
| I20060818000409 | I | General Surgery | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 161 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 168 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 110 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 99 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 95 | 95 | $0 |
Insurance plans in this area (ZIP 37172)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | TN | 11042 | Removal of skin and tissue first 20 sq cm or less | 162 | 49 |
| GENERAL SURGERY | TN | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 17 | 17 |
| GENERAL SURGERY | TN | 93922 | Ultrasound study of arteries of both arms and legs | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| Nurse Practitioner | TN | |
| General Surgery | TN | |
| Vascular Surgery | TN | |
| General Surgery | TN | |
| General Surgery | TN |
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