Individual provider Active NPI

David Albert Goss Jr., DO

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
National Provider Identifier
1932441268
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
34.012324 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085
Phone
(614) 895-8747
Fax
(614) 895-3246
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X 34.012324 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085

Mailing address

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2217
Phone (614) 895-8747

Other practice location 1

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

Other practice location 2

300 Polaris Pkwy Ste 2000
Westerville, OH 43082
Phone (614) 895-8747

Other practice location 3

300 Polaris Pkwy Ste 2000
Westerville, OH 43082
Phone (614) 895-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191002000397 GA Practitioner - Orthopedic Surgery 3274809249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Orthopedics and Sports Medicine PCGroup PAC ID 4284624446, 15 clinicians

Practice addresses (Care Compare)

1300 Cleo Way
Suite 100
Dalton, GA 30720-8442
Phone (706) 226-5533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
62.21
Promoting interoperability
99
Improvement activities
40
Cost
83.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.012324OHMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Orthopedics & Sports Medicine PC Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Footsource MD, LLC Past Accepting new patients

Locations

1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 314-1910

1104 Professional Blvd
Dalton, GA 30720
Phone (706) 226-5533

1300 Cleo Way
Ste 100
Dalton, GA 30720
Phone (706) 226-5533

1300 Cleo Way
Dalton, GA 30720
Phone (706) 226-5533

1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640

Interoperability endpoints

  • Direct secure messaging: dgoss19035@hhcs.direct-ci.com
  • Direct secure messaging: davidgoss@aosm.allscriptsdirect.net

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 5

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1932441268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281607",
            "country_code": "US",
            "telephone_number": "614-544-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Polaris Pkwy Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "43082",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Polaris Pkwy Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "43082",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "DAVID",
        "middle_name": "ALBERT",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OH",
            "license": "34.012324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.