Active NPI
Mark Quincy Goodman, M.D.
- Sports Medicine (Emergency Medicine) Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- MD160709
- Practice address
- 1140 SW Simpson Ave Ste 100
Bend, OR 97702-3789 - Phone
- (541) 388-2333
- Fax
- (541) 388-0930
- NPI assigned
- Apr 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD160709 | OR | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | MD160709 | OR | Primary |
Addresses
Primary practice location
1140 SW Simpson Ave Ste 100
Bend, OR 97702-3789
Mailing address
1140 SW Simpson Ave Ste 100
Bend, OR 97702-3789
Phone (541) 388-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609018860 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 SW Simpson Ave
Suite 100
Bend, OR 97702-3789
Phone (541) 388-2333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD160709 | OR | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Sports and Spine, LLC | Current | Accepting new patients | |
| Central Oregon Emergency Physicians LLC | Emergency Medical Services | Current | Accepting new patients |
| St. Charles Health System, Inc. | Emergency Medicine | Current | Accepting new patients |
| High Desert Sports and Spine, LLC | Emergency Medical Services | Current | Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Family Medicine | Current | Accepting new patients |
| University of Utah Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| University of Utah Emergency Physicians | Emergency Medical Services | Past | Accepting new patients |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
1140 SW Simpson Ave
Ste 100
Bend, OR 97702
Phone (541) 388-2333
13000 SW Century Dr
Bend, OR 97702
Phone (541) 706-5499
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930
1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Interoperability endpoints
- mark.goodman.1@30625.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Pain Medicine (Anesthesiology) Physician
- Bend, OR
- NPI 1073376695
Emergency Medical Services
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bend, OR
- NPI 1376714543
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Emergency Medicine
-
- Family Medicine Physician
- Bend, OR
- NPI 1699827477
-
- Durable Medical Equipment & Medical Supplies
- Bend, OR
- NPI 1700730116
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
-
- Specialist
- Bend, OR
- NPI 1700697935
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Emergency Medical Services (Emergency Medicine) Physician
- Salt Lake City, UT
- NPI 1093769218
-
- Emergency Medicine Physician
- Rock Springs, WY
- NPI 1730583295
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1609018860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SW SIMPSON AVE STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977023789",
"telephone_number": "541-388-2333",
"fax_number": "541-388-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SW SIMPSON AVE STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977023789",
"telephone_number": "541-388-2333",
"fax_number": "541-388-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MARK",
"middle_name": "QUINCY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OR",
"license": "MD160709",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "OR",
"license": "MD160709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1609018860",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.