BRIAN GOODMAN (MD) – Emergency Medicine Physician, NPI 1386611564

BRIAN GOODMAN (MD) is a healthcare provider. based in Chippewa falls, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 55046-020 (WI). The NPI Number for BRIAN GOODMAN (MD) is 1386611564

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN GOODMAN (MD)
NPI
1386611564
Phone
(715) 723-1811
Address
2661 County Highway I
Enumeration Date
7 March 2006
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144472000
Graduation Year
2000 (26 years ago)
PAC ID
4082772702
Group Practice PAC ID
8729975461
Professional Enrollment ID
I20110221000609
Address ID
WI532101650MI5000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for BRIAN GOODMAN (MD)

  • 2661 County Highway I

    Chippewa Falls, WI 547295407

    Phone: (715) 723-1811

    Type: Location

  • 7301, Ohms Lane, Cahill, Edina, Hennepin County, Minnesota, 55439, United States

    SUITE 650

    EDINA, MN 55439

    Phone: (952) 835-9880

    Fax: (952) 857-1554

    Type: Mailing

  • Fairview Ridges Hospital, 201, East Nicollet Boulevard, Burnsville, Dakota County, Minnesota, 55337, United States

    FAIRVIEW RIDGES HOSPITAL

    BURNSVILLE, MN 55337

    Phone: (952) 892-2021

    Fax: (952) 892-2670

    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: 2011-02-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081024000527IEmergency MedicineMNTBD
I20110221000609IEmergency MedicineWITBD

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
99285Emergency department visit with high level of medical decision making286279$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only194178$0
99284Emergency department visit with moderate level of medical decision making155154$0
99283Emergency department visit with low level of medical decision making1414$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 54729)

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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: 8729975461View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
-WA
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineMN
-WI
Physician AssistantWI

Reviews

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Frequently asked questions

What is the standard ID for BRIAN GOODMAN (MD) in the U.S.?
In the U.S., BRIAN GOODMAN (MD) is identified by NPI 1386611564.
Should I treat BRIAN GOODMAN (MD) as an active provider?
Patients and plans typically see BRIAN GOODMAN (MD) as active in the national extract.
What services align with BRIAN GOODMAN (MD)'s listing?
BRIAN GOODMAN (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRIAN GOODMAN (MD)?
BRIAN GOODMAN (MD) is associated with Chippewa Falls, Wisconsin in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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