JACOB DILLON GOODEN (PA-C) – Physician Assistant, NPI 1023622529
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for JACOB DILLON GOODEN (PA-C)
2900 LAMB CIR STE 302
CHRISTIANSBURG, VA 240736341
Phone: (540) 731-2000
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5353
Type: Mailing
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: (540) 741-1100
Type: Location
30 CARRIAGE HILL LN
FREDERICKSBURG, VA 224072402
Phone: (336) 682-8615
Type: Mailing
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 224014453
Phone: (540) 741-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($125).
Total Amount
$341
General + Research + Ownership
Payments
4
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $125 |
| W. L. Gore & Associates, Inc. | $117 |
| E.R. Squibb & Sons, L.L.C. | $84 |
| Chiesi USA, Inc. | $16 |
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: 2020-10-30
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 |
|---|---|---|---|---|
| I20201030000214 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 149 | 73 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 26 | 26 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 20 | 20 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 12 | 12 | $0 |
Insurance plans in this area (ZIP 24073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | CA | |
| - | VA | |
| - | VA | |
| Diagnostic Radiology | OR | |
| Physician Assistant | AZ | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA |
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