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Active NPI 1356570576 Individual Practitioner Female Practitioner

Amanda R Goddard , PA-C

Physician Assistant • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Goddard, PA-C is a certified Physician Assistant practicing in Springfield, MO. With approximately 18 years of clinical experience since completing medical education in 2008, Amanda Goddard delivers high-quality medical care to the local community at 3808 S GREYSTONE CT.

Amanda Goddard is affiliated with Cornerstone Dermatology And Surgery Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3808 S Greystone Ct

Springfield, MO 658046561

Telephone 4178893332
Fax 4178811410
Associated Practice Facility / Clinic
🏢 Raffaele Pennella Md Llc Facility NPI 1568992782

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +8.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
235 Specialists

Practicing in Springfield, MO (1802 Statewide)

Telehealth Adoption Rate
11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goddard (18 Years) 18 Yrs
Springfield Specialty Average (9.8 Years) 9.8 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
17003 Destruction of precancer skin growth, 2-14 growths
308 68 $10.55 $5.35
99213 Established patient office or other outpatient visit, typically 15 minutes
135 123 $145.64 $74.31
17000 Destruction of skin growth
109 95 $107.72 $41.63
11102 Tangential biopsy of single skin lesion
108 100 $158.61 $79.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
98 76 $205.54 $104.93
11103 Biopsy of related skin growth, each additional growth
33 25 $79.73 $40.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
29 27 $90.52 $46.11
17110 Destruction of up to 14 skin growths
25 22 $180.52 $90.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $178.64 $91.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $268.58 $137.04

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2009018151

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tricare
431560263 (MO)
Commercial Insurance / Payer ID Rr Mcr
P00985991 (MO)
Commercial Insurance / Payer ID Arkansas Bluecross/blue Shield
8P159 (MO)

Hospital & Practice Group Affiliations

Cornerstone Dermatology And Surgery Group Pc

601 Nw Obrien Rd, Lees Summit, MO 640631806

Phone: 8162871528

Practice Associates & Co-Workers

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

8 Associated Practitioners
Erin York , PA-C

Physician Assistant

NPI 1013456045

Physician Assistant (Certified)

Dr. Craig Naugle , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1104805381

Doctor of Medicine (M.D.)

NPI 1295963536

Doctor of Medicine (M.D.)

Erin Lewis , NP-C

Nurse Practitioner

NPI 1356955231

Nurse Practitioner (Certified)

NPI 1558400788

Doctor of Medicine (M.D.)

NPI 1801866231

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2016

Registered at 3808 S GREYSTONE CT, SPRINGFIELD, MO 658046561 (Tel: 4178893332)

📍
Updated Business Mailing Address March 18, 2016

Registered at 3808 S GREYSTONE CT, SPRINGFIELD, MO 658046561 (Tel: 4178893332)

👤
Provider Name / Credentials Updated March 18, 2016

Recorded as AMANDA GODDARD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Physician Assistant (License #2009018151 in MO)

🟢
Initial NPI Registration & Enumeration July 09, 2009

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: 1356570576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2009
Last Update: March 18, 2016
Sole Proprietor: No

Mailing Address

3808 S Greystone Ct

Springfield, MO 658046561

Phone: 4178893332

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.