Individual provider Active NPI

John Patrick Goggin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Pierce, FL
National Provider Identifier
1740238351
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2715 Issued in FL
Practice address
2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone
(772) 461-4400
Fax
(772) 461-4409
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 2715 FL Primary

Addresses

Primary practice location

2209 S 25TH St
Fort Pierce, FL 34947-4796

Mailing address

2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 461-4400

Other identifiers 2

IdentifierTypeStateIssuer
340572900MedicaidFL
PO 2715OtherFLLICENSE #

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000211 FL Practitioner - Podiatry 9032138854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perrone and Goggin DPM LCGroup PAC ID 6305865122, 2 clinicians

Practice addresses (Care Compare)

2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 461-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue160
Removal of skin lesions1-10
Removal of nail tissue517
Removal or shaving of skin growth288
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2715FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perrone and Goggin DPM LC Foot & Ankle Surgery CurrentSince Nov 1, 2005 Accepting new patients
The Foot & Ankle Institute of South Florida, Inc Foot & Ankle Surgery Past Accepting new patients

Locations

2209 S 25th St
Fort Pierce, FL 34947
Phone (772) 461-4400

Organizations & group practices 2

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 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1740238351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-461-4400",
            "fax_number": "772-461-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-461-4400",
            "fax_number": "772-461-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGIN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340572900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PO 2715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.