Scott L Goffin, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2077441 Issued in MA

Practice address

780 Main St
Suite 9
Great Barrington, MA 01230-2148

Phone

(413) 528-5184

Fax

(413) 528-1077

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

DermatologyAlso: Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatology Center in the Berkshires, P.C.

  • Dermatology Physician
  • Great Barrington, MA
  • NPI 1356457949
  Medicare reassignment NPD Authorized official
• Gold Ophthalmologic Associates, P.C.

  • Ophthalmology Physician
  • Great Barrington, MA
  • NPI 1386758878
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1821060351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TACONIC AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301709",
            "telephone_number": "413-528-5184",
            "fax_number": "413-528-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 9",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302148",
            "telephone_number": "413-528-5184",
            "fax_number": "413-528-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFIN",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "2077441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062763/9730940",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamera S Gebo-Wilber, PHYSICAL THERAPIST
• Mary Gendler, EDD
• Genesis Eldercare Rehab Services
• Kim Gershon, MSW
• Carol Lynn Gillette, LMT
• Gold Ophthalmologic Associates, P.C.
• Joseph B Gold, M.D.
• Peter Goldberg, LIC. AC.
• Great Barrington Physical Therapy, Inc.
• Kathleen Ann Greco

• Dermatology Physician in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.