BRIAN EARL GOODY (PA) – Medical Physician Assistant, NPI 1205188786

BRIAN EARL GOODY (PA) is a healthcare provider. based in Tacoma, Washington. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA.60316095 (WA). The NPI Number for BRIAN EARL GOODY (PA) is 1205188786

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN EARL GOODY (PA)
NPI
1205188786
Phone
(360) 584-6775
Address
10612 PARK AVE S
Enumeration Date
9 October 2012
Last Update Date
9 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0749432482
Group Practice PAC ID
3577462365
Professional Enrollment ID
I20121204000312
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for BRIAN EARL GOODY (PA)

  • 10612 PARK AVE S

    TACOMA, WA 984445864

    Phone: (360) 584-6775

    Type: Mailing

  • 915 ANDERSON DR

    ABERDEEN, WA 985201006

    Phone: (360) 537-6120

    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: 2012-12-04

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
I20121204000312IPhysician AssistantWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes779286$0
99238Hospital discharge day management, 30 minutes or less303276$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes201186$0
View full utilization report →

Insurance plans in this area (ZIP 98444)

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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: 3577462365View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Physician AssistantWA
Physician AssistantWA
Physical Therapist In Private PracticeWA
Diagnostic RadiologyWA
-WA
Family PracticeWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What federal number belongs to BRIAN EARL GOODY (PA)?
The federal identifier for BRIAN EARL GOODY (PA) is NPI 1205188786.
Is BRIAN EARL GOODY (PA) currently active in the NPI registry?
CMS-published data lists BRIAN EARL GOODY (PA) as an active registrant.
What kind of provider is BRIAN EARL GOODY (PA)?
The page reflects Medical Physician Assistant for BRIAN EARL GOODY (PA). Clinical services aligned with this taxonomy classification.
What location shows for BRIAN EARL GOODY (PA)?
We surface Tacoma, Washington for BRIAN EARL GOODY (PA) based on available NPPES addresses.
What if Tacoma, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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