Individual provider Active NPI

Steven Everett Goodwiller, MD PA

  • Orthopaedic Surgery Physician
  • Panama City, FL
National Provider Identifier
1922027952
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0050344 Issued in FL
Practice address
402 W 19TH St
Panama City, FL 32405-4602
Phone
(850) 763-6179
Fax
(850) 763-0412
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0050344 FL Primary

Addresses

Primary practice location

402 W 19TH St
Panama City, FL 32405-4602

Mailing address

402 W 19TH St
Panama City, FL 32405-4602
Phone (850) 763-6179

Other identifiers 1

IdentifierTypeStateIssuer
04095OtherFLBCBS OF FL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000223 FL Practitioner - Orthopedic Surgery 7416063722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Alabama College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 W 19TH St
Panama City, FL 32405-4602
Phone (850) 763-6179

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050344FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven E Goodwiller MD PA Orthopaedic Surgery CurrentSince Nov 1, 1999 Accepting new patients
Medical Evaluators Inc CurrentSince Aug 1, 2015 Accepting new patients

Locations

402 W 19th St
Panama City, FL 32405
Phone (850) 763-6179

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1922027952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054602",
            "telephone_number": "850-763-6179",
            "fax_number": "850-763-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054602",
            "telephone_number": "850-763-6179",
            "fax_number": "850-763-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWILLER",
        "first_name": "STEVEN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0050344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "04095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.