NPI Details
Conny Dale Goodin, MD is an internal medicine in Versailles, KY with 48 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Conny Dale Goodin, MD NPI is 1902899065. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1978
The provider's business location address is:
115 CROSSFIELD DR STE A
VERSAILLES, KY
ZIP 40383-845
Phone: (859) 873-9843
Fax: (859) 873-0972
The NPI 1902899065 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, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Hemoglobin a1c level (HCPCS:83036)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Automated urinalysis test (HCPCS:81003)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Blood test, clotting time (HCPCS:85610)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
The enumeration date for this NPI number is 8/24/2005 and was last updated on 1/18/2022.
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 |
| 1 | 207R00000X | Internal Medicine | | 20159 | KENTUCKY | Yes |
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 |
| 1 | 0037674 | OTHER | KENTUCKY | MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT |
| 2 | 1284109 | OTHER | KENTUCKY | UMWA |
| 3 | 1404232 | OTHER | KENTUCKY | UMWA |
| 4 | 0400358 | OTHER | KENTUCKY | UNITED HEALTHCARE |
| 5 | D95905 | OTHER | KENTUCKY | BLUEGRASS FAMILY HEALTH |
| 6 | 000000047824 | OTHER | KENTUCKY | ANTHEM BLUE SHIELD |
| 7 | 611012421 | OTHER | KENTUCKY | ESSENCE |
| 8 | 110031155 | OTHER | KENTUCKY | RAILROAD MEDICARE |
| 9 | 64-201593 | MEDICAID | KENTUCKY | |
| 10 | 611012421 | OTHER | KENTUCKY | AETNA |
| 11 | 611012421D | OTHER | KENTUCKY | HUMANA |
