ANGUS G III GOETZ (D.O) – Orthopaedic Surgery Physician, NPI 1336124890

ANGUS G III GOETZ (D.O) is a healthcare provider. based in Jackson, Wyoming. specializing in Orthopaedic Surgery Physician. They hold the professional credentials D.O. They hold a License No. 7949A (WY). The NPI Number for ANGUS G III GOETZ (D.O) is 1336124890

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ANGUS G III GOETZ (D.O)
NPI
1336124890
Phone
(307) 733-3900
Address
555 E BROADWAY AVE
Enumeration Date
7 December 2005
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
30773424436
Graduation Year
1990 (36 years ago)
PAC ID
8325930092
Group Practice PAC ID
0941373385
Professional Enrollment ID
I20080717000340
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for ANGUS G III GOETZ (D.O)

  • 555, Broadway Avenue, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, WY 830018640

    Phone: (307) 733-3900

    Type: Mailing

  • 555 E Broadway Ave

    Jackson, WY 830018640

    Phone: (307) 733-3900

    Type: Location

  • 2230 E MITCHELL RD STE A

    PETOSKEY, MI 497706601

    Phone: (231) 622-8103

    Type: Location

  • 2230 E Mitchell Rd Ste A

    Petoskey, MI 497706601

    Phone: (231) 622-8103

    Type: Location

  • 560 W MITCHELL ST STE 560

    PETOSKEY, MI 497702279

    Phone: (231) 487-5400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Stryker Corporation ($61).

Total Amount

$125

General + Research + Ownership

Payments

7

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-07-17

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
I20080717000340IOrthopedic SurgeryWYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83001)

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Provider's Procedures

ANGUS G III GOETZ (D.O) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYWY27447Repair of knee joint2929

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: 0941373385View full group profile
NameSpecialtyState
-MI

Reviews

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Frequently asked questions

Can I cross-check ANGUS G III GOETZ (D.O) using NPI 1336124890?
NPI 1336124890 belongs to ANGUS G III GOETZ (D.O); compare other details if you need extra assurance.
Active or inactive — what applies to ANGUS G III GOETZ (D.O)?
You should see ANGUS G III GOETZ (D.O) as active in CMS-hosted NPPES data.
What area of care is associated with ANGUS G III GOETZ (D.O)?
ANGUS G III GOETZ (D.O)'s record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ANGUS G III GOETZ (D.O)?
Directory geography for ANGUS G III GOETZ (D.O) centers on Jackson, Wyoming.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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