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Jacey E Goddard

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NPI Number Detailed Information

Provider Information:

Name: Jacey E Goddard
Gender: F
Provider License Number If Given: 1766

NPI Information:

NPI: 1073569216
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 5/26/2006
Last Update Date: 5/3/2016
Reputation Report:

Provider Business Mailing Address:

Address: 491 US ROUTE 1
Freeport, ME 04032
Phone Number: 2078656655
Fax Number: 2078656653

Provider Business Practice Location Address:

Address: 491 US ROUTE 1
Freeport, ME 04032
Phone Number: 2078656655
Fax Number: 2078656653

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any): 204D00000X
State: ME

Top Doctors in ME

 

About Jacey E Goddard

Jacey E Goddard ( JACEY E GODDARD ) is Family Family Medicine Physician in Freeport, ME. The NPI Number for Jacey E Goddard is 1073569216.
The current location address for Jacey E Goddard is 491 US ROUTE 1 Freeport, ME 04032 and the contact number is 2078656655 and fax number is 2078656653. The mailing address for Jacey E Goddard is 491 US ROUTE 1 Freeport, ME 04032- 2078656655 (mailing address contact number - 2078656655).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jacey E Goddard ?


Answer: The NPI Number for Jacey E Goddard is 1073569216

Where is Jacey E Goddard located?


Answer: Jacey E Goddard is located at 491 US ROUTE 1 Freeport, ME 04032.

What is the specialty for Jacey E Goddard ?


Answer: The Specialty of Jacey E Goddard is Family Family Medicine Physician.

Are there any online reviews for Jacey E Goddard ?


Answer: Yes! Check It Now.

Are there any other health care providers in Freeport, ME?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jacey E Goddard

Number of HCPCS 7
Number of Medicare Beneficiaries 43
Number of Services 531
Total Submitted Charge Amount 78158
Total Medicare Allowed Amount 43134.67
Total Medicare Payment Amount 32425.49
Total Medicare Standardized Payment Amount 32621.57
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 43
Number of Medical Services 531
Total Medical Submitted Charge Amount 78158
Total Medical Medicare Allowed Amount 43134.67
Total Medical Medicare Payment Amount 32425.49
Total Medical Medicare Standardized Payment Amount 32621.57
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 24
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.26
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.28
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.33
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7758

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Osteopathic Manipulative Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 11
Number of Standardized 30-Day Fills 15
Aggregate Cost Paid for All Claims 81.07
Number of Day's Supply for All Claims 303
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 11
Aggregate Cost Paid for Generic Drugs 81.07
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst *
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.833333333
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.5096666667

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