John M Gooch, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME123220 Issued in FL

Practice address

2955 Brownwood Blvd Ste 303
The Villages, FL 32163-2040

Phone

(352) 350-8484

Fax

(352) 751-9850

NPI assigned

Jan 9, 2006

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Louisville School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes at the Villages PAGroup PAC ID 5294987905, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jgooch563751@direct.shands.ufl.edu
• Direct secure messaging: john.goochmd.p3@direct.stlukeseye.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St . Lukes at the Villages, PA

  • Ophthalmology Physician
  • The Villages, FL
  • NPI 1801144217
  Medicare reassignment Care Compare group NPD
• St. Lukes Surgical at the Villages, Inc

  • Ambulatory Surgical Clinic/Center
  • The Villages, FL
  • NPI 1205184603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1417935511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 303",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632040",
            "telephone_number": "352-350-8484",
            "fax_number": "352-751-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7370 Turfway Rd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424895",
            "country_code": "US",
            "telephone_number": "859-746-1990",
            "fax_number": "859-746-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Old Camp Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "32162",
            "country_code": "US",
            "telephone_number": "352-350-8484",
            "fax_number": "352-751-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME123220",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "30264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100286250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Gonzalez, DC
• Lisa M Gonzalez
• Monica Maria Gonzalez, APN-BC
• Pamela Lizzie Gonzalez, MD
• Reynaldo F Gonzalez, DMD
• Sabrina Alexa Gooden, APRN
• Caryn Elizabeth Goodwin, PHARMD
• Korey Ann Goodwin
• Sara E Gosik, RD
• David L Goss, MD

• Ophthalmology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.