DR. GREG R. GOODMAN (MD) – Vascular Surgery Physician, NPI 1023019346
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GREG R. GOODMAN (MD)
Salt Lake City, Salt Lake County, Utah, United States
SALT LAKE CITY, UT 841235632
Phone: (801) 284-1702
Fax: (801) 262-3897
Type: Mailing
South Woodrow Street, Murray, Salt Lake County, Utah, 84107, United States
#102
MURRAY, UT 84107
Phone: (801) 713-1010
Fax: (801) 713-0665
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $354.
Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABIOMED ($354).
Total Amount
$354
General + Research + Ownership
Payments
20
Total payment records
General Amount
$354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $354 |
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: 2004-01-24
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 |
|---|---|---|---|---|
| I20040124000426 | I | Vascular Surgery | UT | 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 84123)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | UT | 93922 | Ultrasound study of arteries of both arms and legs | 46 | 45 |
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