Active NPI 1073535829 Individual Practitioner Male Practitioner

Dr. Mark James Goethe , MD

Orthopaedic Surgery • Midland, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Goethe, MD is a certified Orthopaedic Surgery practicing in Midland, MI. With approximately 41 years of clinical experience since graduating from University Of Michigan Medical School in 1985, Dr. Goethe delivers high-quality medical care to the local community at 4401 CAMPUS RIDGE DR.

Dr. Goethe is affiliated with Mymichigan Medical Center Midland and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, x-ray of knee, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4401 Campus Ridge Dr

Midland, MI 486406112

Telephone 9898320323

Fax 9896310886

Associated Practice Facility / Clinic

🏢 Mark J Goethe Md Pc Facility NPI 1558444976

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Midland, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +9.8 yrs vs City Avg

City Avg: 31.2 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Midland, MI (1014 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goethe (41 Years) 41 Yrs

Midland Specialty Average (31.2 Years) 31.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$256.00	$128.18
73564 X-ray of knee, 4 or more views	30	25	$67.17	$10.94
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$138.00	$63.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$207.00	$78.86
73030 X-ray of shoulder, minimum of 2 views	23	19	$38.61	$9.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$198.00	$92.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$304.00	$124.58
20610 Aspiration and/or injection of fluid from large joint	19	13	$159.79	$47.49
73502 X-ray of hip, 2-3 views	17	13	$23.00	$10.25
73560 X-ray of knee, 1-2 views	12	12	$37.00	$7.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$138.00	$63.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$207.00	$80.42
73560 X-ray of knee, 1-2 views	34	26	$38.09	$8.07
73564 X-ray of knee, 4 or more views	32	25	$67.03	$11.10
73030 X-ray of shoulder, minimum of 2 views	31	18	$37.00	$8.79
73502 X-ray of hip, 2-3 views	24	18	$23.00	$10.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$256.00	$128.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$198.00	$94.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$304.00	$125.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	65	$138.00	$65.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$207.00	$81.42
73564 X-ray of knee, 4 or more views	51	42	$65.00	$10.70
20610 Aspiration and/or injection of fluid from large joint	42	22	$169.71	$50.50
73502 X-ray of hip, 2-3 views	33	26	$23.00	$10.68
73030 X-ray of shoulder, minimum of 2 views	20	16	$37.00	$9.01
73560 X-ray of knee, 1-2 views	18	14	$37.00	$7.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$406.00	$191.31
27447 Replacement of knee joint, both sides of knee	16	16	$3282.00	$1254.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$256.00	$132.34
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3395.00	$1256.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	79	$110.27	$65.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$151.68	$82.25
73564 X-ray of knee, 4 or more views	56	38	$66.16	$11.07
73502 X-ray of hip, 2-3 views	52	35	$23.00	$10.88
20610 Aspiration and/or injection of fluid from large joint	35	17	$195.36	$57.02
73030 X-ray of shoulder, minimum of 2 views	32	22	$37.00	$9.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$213.73	$133.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$406.00	$195.11
73560 X-ray of knee, 1-2 views	21	17	$37.00	$8.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$147.96	$96.15
73565 X-ray of both knees while standing	13	13	$40.00	$8.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	56	$61.77	$51.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$95.26	$75.98
73502 X-ray of hip, 2-3 views	51	40	$23.00	$11.36
73564 X-ray of knee, 4 or more views	44	38	$67.95	$11.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	35	$85.20	$79.24
73030 X-ray of shoulder, minimum of 2 views	31	22	$39.39	$10.19
20610 Aspiration and/or injection of fluid from large joint	29	21	$160.63	$49.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$406.00	$202.28
73560 X-ray of knee, 1-2 views	19	17	$37.00	$8.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$137.40	$129.88
27447 Replacement of knee joint, both sides of knee	11	11	$5056.55	$1385.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	105	$59.10	$50.61
73502 X-ray of hip, 2-3 views	97	59	$23.00	$11.24
73030 X-ray of shoulder, minimum of 2 views	81	44	$37.91	$9.70
20610 Aspiration and/or injection of fluid from large joint	72	32	$182.47	$51.45
73560 X-ray of knee, 1-2 views	62	43	$40.02	$8.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$98.61	$75.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$86.21	$78.01
73564 X-ray of knee, 4 or more views	49	42	$70.31	$12.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$406.00	$200.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$187.83	$167.07
27447 Replacement of knee joint, both sides of knee	19	17	$7186.00	$1364.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$148.15	$110.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$137.40	$127.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	83	$59.61	$50.34
73502 X-ray of hip, 2-3 views	79	56	$19.97	$11.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	70	70	$172.80	$166.21
73030 X-ray of shoulder, minimum of 2 views	64	44	$32.49	$9.79
73560 X-ray of knee, 1-2 views	63	42	$35.83	$9.10
20610 Aspiration and/or injection of fluid from large joint	62	23	$177.35	$50.09
73564 X-ray of knee, 4 or more views	56	47	$59.66	$12.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	44	$133.98	$109.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$85.20	$77.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$146.88	$126.97
73610 X-ray of ankle, minimum of 3 views	29	12	$36.18	$8.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$406.00	$198.95
G0180 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	18	17	$171.00	$51.58
27447 Replacement of knee joint, both sides of knee	18	17	$7186.00	$1346.97
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6883.00	$1348.31
23472 Prosthetic repair of shoulder joint, total shoulder	14	13	$5606.00	$1444.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$99.03	$75.25
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$5904.00	$1221.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73502 X-ray of hip, 2-3 views	84	53	$20.38	$11.06
73030 X-ray of shoulder, minimum of 2 views	79	43	$36.57	$10.12
99213 Established patient office or other outpatient visit, typically 15 minutes	75	63	$58.05	$49.91
73564 X-ray of knee, 4 or more views	64	45	$58.39	$12.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$86.62	$76.75
20610 Aspiration and/or injection of fluid from large joint	52	18	$154.66	$53.23
73610 X-ray of ankle, minimum of 3 views	43	19	$39.00	$8.65
73560 X-ray of knee, 1-2 views	42	33	$33.52	$8.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$406.00	$197.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$175.71	$165.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$128.10	$108.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$99.30	$76.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$141.87	$128.36
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$65.62	$49.69
27447 Replacement of knee joint, both sides of knee	21	21	$7186.00	$1338.20
73564 X-ray of knee, 4 or more views	15	14	$45.07	$11.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$93.94	$76.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$148.15	$108.33
73502 X-ray of hip, 2-3 views	13	12	$19.98	$11.04
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$5278.98	$1332.92
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$5904.00	$1149.55
73562 X-ray of knee, 3 views	11	11	$29.82	$9.31

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301405876

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2971771 (MI)

Commercial Insurance / Payer ID Bcn

P72856 (MI)

Commercial Insurance / Payer ID Bcbs

2005601332 (MI)

Hospital & Practice Group Affiliations

Mymichigan Medical Center Midland

4000 Wellness Dr, Midland, MI 486702000

Phone: 9896338018

Mymichigan Medical Center Midland

4500 Campus Ridge Dr, Midland, MI 486406123

Phone: 9898379250

Mymichigan Medical Center Midland

4401 N Campus Rdg Dr, Midland, MI 486406112

Phone: 9898379200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Gregory Daut , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1184882771

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2017

Registered at 4401 CAMPUS RIDGE DR, MIDLAND, MI 486406112 (Tel: 9898320323)

📍

Updated Business Mailing Address September 25, 2017

Registered at 4401 CAMPUS RIDGE DR, MIDLAND, MI 48640 (Tel: 9898320323)

👤

Provider Name / Credentials Updated September 25, 2017

Recorded as MARK GOETHE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Orthopaedic Surgery (License #4301405876 in MI)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 7101 W WACKERLY ST, MIDLAND, MI 48642 (Tel: 9898320323)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7101 W WACKERLY ST, MIDLAND, MI 48642 (Tel: 9898320323)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK GOETHE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #4301405876 in MI)

🟢

Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073535829

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 24, 2006

Last Update: September 25, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4401 Campus Ridge Dr

Midland, MI 48640

Phone: 9898320323

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.