GARY S GOLDBERG MD NPI 1013995034

NPI Information

  • NPI: 1013995034
  • Provider Name: GARY S GOLDBERG, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1421 PREMIERE DR
    MANKATO CLINIC@ WICKERSHAM CAMPUS
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 625-1811

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NPI Details

Gary S Goldberg, MD is an urology in Mankato, MN with 31 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Gary S Goldberg, MD NPI is 1013995034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1421 PREMIERE DR
MANKATO CLINIC@ WICKERSHAM CAMPUS
MANKATO, MN
ZIP 56001-076
Phone: (507) 625-1811

The NPI 1013995034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Bacterial urine culture (HCPCS:87088)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Blood creatinine level (HCPCS:82565)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology43508MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
147D36GOOTHERMINNESOTABCBS
2HP34028OTHERMINNESOTAHEALTH PARTNERS
3340019399OTHERRR MEDICARE
4392183200MEDICAIDMINNESOTA
51808800OTHERMINNESOTAAMERICAS PPO
6NA2951028013OTHERMINNESOTAPREFFERED ONE
70568394OTHERIOWAMEDICAID
8140754OTHERMINNESOTAUCARE
91900310OTHERMINNESOTAMEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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