Tara Marie Goecks, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

MD216464 Issued in OR

Practice address

929 SW Simpson Ave Ste 250
Bend, OR 97702-3599

Phone

(541) 585-0505

Fax

(541) 585-0404

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, OR2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Vermont College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Evergreen Oculofacial Plastic Surgery LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Bend, OR
  • NPI 1669133492

  CO

  Medicare reassignment Authorized official
• Colorado Oculofacial Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Denver, CO
  • NPI 1003778135
  NPD (past)
• Michael J Hawes MD PC

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1447418744
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1598051732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6387",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086387",
            "telephone_number": "541-585-0505",
            "fax_number": "541-585-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023599",
            "telephone_number": "541-585-0505",
            "fax_number": "541-585-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Bookcliff Ave Unit 102",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018159",
            "country_code": "US",
            "telephone_number": "303-228-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOECKS",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "61938",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD216464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Gobeille, DDS, MS
• Trudy A. Godat, MS, LPC, CADC
• April M Goddard, CRM
• Lindsey Kay Goddard, ARNP
• Bailey Godfrey Klein, DNP, PC-PNP
• Julianne Goelzer, RPH
• Mary Goetz
• Janet Warner Goewey, P.T.
• Adam Christopher Goggins
• Alison Goin, M.S. CCC-SLP

• Ophthalmic Plastic and Reconstructive Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.