Individual provider Active NPI

Michael Leslie Golden III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dallas, TX
National Provider Identifier
1477940922
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30403 Issued in WV
Practice address
6901 Snider PLZ Ste 200
Dallas, TX 75205-5651
Phone
(214) 369-7733
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 210048 NC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 30403 WV Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 11725386-1205 UT

Addresses

Primary practice location

6901 Snider PLZ Ste 200
Dallas, TX 75205-5651

Mailing address

912 Somerset Blvd Ste 202
Charles Town, WV 25414-3953
Phone (304) 725-2663

Other practice location 1

6901 Snider Plz Ste 300
Dallas, TX 75205-5650
Phone (214) 706-6901

Other practice location 2

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone (801) 587-5400

Other practice location 3

912 Somerset Blvd Ste 101
Charles Town, WV 25414
Phone (304) 725-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20210830002125 WV Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2466773700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Emory University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

912 Somerset Blvd
Charles Town, WV 25414-3952
Phone (304) 725-2663

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
210048NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
City Hospital, Inc. Orthopaedic Surgery CurrentSince Feb 3, 2026 Accepting new patients

Locations

912 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-2663

912 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 724-2663

912 Somerset Blvd
Ste 202
Charles Town, WV 25414

61 Campus Dr
Ste 130
Martinsburg, WV 25404
Phone (304) 725-2663

61 Campus Dr
Ste 104
Martinsburg, WV 25404
Phone (304) 596-5615

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: mgolden301713@direct.wvuhsdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1477940922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SOMERSET BLVD STE 202",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143953",
            "telephone_number": "304-725-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055651",
            "telephone_number": "214-369-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Snider Plz Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752055650",
            "country_code": "US",
            "telephone_number": "214-706-6901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 S Wakara Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081200",
            "country_code": "US",
            "telephone_number": "801-587-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Somerset Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "25414",
            "country_code": "US",
            "telephone_number": "304-725-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "MICHAEL",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "210048",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WV",
            "license": "30403",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "11725386-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.