JEREMY ZACH GOODMAN (MD) – Urology Physician, NPI 1245890094
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 UROLOGY in WI
Provider Addresses for JEREMY ZACH GOODMAN (MD)
UW HOSPITALS & CLINICS 600 HIGHLAND AVE
MADISON, WI 537920001
Phone: (608) 263-6400
Type: Mailing
PO BOX 2876
MOULTRIE, GA 317762876
Phone: (229) 891-9148
Type: Mailing
16 LIVE OAK CT
MOULTRIE, GA 317686783
Phone: (229) 891-9148
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,341.
Total Amount is formed as General ($2,341) + Research ($0) + Ownership ($0) = $2,341.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($1,866).
Total Amount
$2,341
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,866 |
| Intuitive Surgical, Inc. | $172 |
| AngioDynamics, Inc. | $106 |
| PROCEPT BioRobotics Corporation | $41 |
| Sumitomo Pharma America, Inc. | $38 |
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: 2024-10-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20241011002702 | I | Urology | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | GA | |
| - | GA |
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