Active NPI 1417957085 Individual Practitioner Male Practitioner

Dr. John W Goulart , DO

Surgery • Enid, OK

Professional Overview & Biography Verified Profile Summary

Dr. John Goulart, DO is a registered healthcare professional specializing in Surgery in Enid, OK. Practice services are available at 620 S MADISON ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 S Madison St
Suite 108

Enid, OK 737017270

Telephone 5802342289

Fax 5802494350

Associated Practice Facility / Clinic

🏢 Integris Rural Health Inc Facility NPI 1316939044

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Enid, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Enid, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	80	80	$319.00	$153.58
99213 Established patient office or other outpatient visit, typically 15 minutes	57	50	$173.00	$84.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$244.00	$118.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	21	$140.00	$73.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$230.00	$121.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$214.00	$102.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$530.70	$232.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$107.00	$51.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$738.26	$304.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$88.00	$45.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$48.94	$16.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$402.00	$168.56
47562 Removal of gallbladder using an endoscope	13	13	$1450.73	$588.23
45380 Biopsy of large bowel using an endoscope	12	12	$420.33	$169.52
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$377.82	$167.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	61	$173.00	$85.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$319.00	$158.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	22	$145.74	$76.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$257.63	$125.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	27	$106.32	$50.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$510.76	$240.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$213.42	$105.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$245.06	$121.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$82.15	$47.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	14	$35.93	$17.30
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$685.87	$314.84
49650 Repair of groin hernia using an endoscope	13	13	$860.32	$387.79
45380 Biopsy of large bowel using an endoscope	12	12	$403.00	$160.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$165.42	$85.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$207.23	$105.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	21	$77.80	$37.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$315.50	$159.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$236.50	$122.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$101.92	$52.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	20	$37.00	$17.42
45380 Biopsy of large bowel using an endoscope	21	21	$410.00	$165.18
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$696.00	$310.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$243.44	$130.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$519.00	$233.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	58	$159.00	$86.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$203.00	$106.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$312.00	$160.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	22	$76.00	$37.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$99.00	$53.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$227.00	$120.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$225.00	$131.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$519.00	$247.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$120.00	$69.65
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$37.00	$18.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$696.00	$325.38

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	100	100	$312.00	$156.71
99213 Established patient office or other outpatient visit, typically 15 minutes	99	73	$137.00	$71.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	30	$68.00	$42.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$203.00	$103.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	23	$76.00	$38.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$519.00	$255.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$225.00	$131.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$202.00	$99.09
45380 Biopsy of large bowel using an endoscope	15	15	$410.00	$139.94
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$696.00	$336.46
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$170.00	$100.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	90	$137.00	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$203.00	$103.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	42	$68.00	$42.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	24	$120.00	$71.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	23	$76.00	$37.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	30	$519.00	$253.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$696.00	$325.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$312.00	$153.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$225.00	$134.52
45380 Biopsy of large bowel using an endoscope	20	20	$410.00	$146.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$202.00	$104.27
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$140.00	$72.79
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$170.00	$99.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	111	95	$137.00	$68.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$203.00	$101.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	73	$78.32	$41.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$519.00	$255.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	28	$76.00	$37.56
45380 Biopsy of large bowel using an endoscope	30	30	$410.00	$102.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$312.00	$156.89
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$696.00	$333.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$250.45	$132.90
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$140.00	$70.84
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$193.11	$93.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$378.00	$184.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$202.00	$101.96
38900 Lymph node imaging during surgery	12	12	$272.00	$136.90
38500 Biopsy or removal of lymph nodes, open procedure	12	12	$492.00	$144.81
47562 Removal of gallbladder using an endoscope	11	11	$1281.00	$647.11
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$378.00	$185.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	125	$81.00	$40.25
99213 Established patient office or other outpatient visit, typically 15 minutes	116	94	$137.00	$66.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$203.00	$99.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	42	$76.00	$37.78
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$140.00	$69.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	59	$519.00	$251.80
45380 Biopsy of large bowel using an endoscope	49	47	$410.00	$135.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$265.00	$131.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$378.00	$182.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	19	$696.00	$328.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$312.00	$154.87
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$378.00	$164.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$286.00	$87.34
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$196.00	$97.51
43246 Insertion of stomach tube using a flexible endoscope	11	11	$409.00	$153.26

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 4191

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200032320A (OK)

Commercial Insurance / Payer ID Rr Medicare

P00155199 (OK)

Commercial Insurance / Payer ID Medicaid Osu Aj

200032320B (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Gary Cole , DO

Surgery

NPI 1699084467

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2018

Registered at 620 S MADISON ST, SUITE 108, ENID, OK 737017270 (Tel: 5802342289)

📍

Updated Business Mailing Address February 09, 2018

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5802342289)

👤

Provider Name / Credentials Updated February 09, 2018

Recorded as JOHN GOULART, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2018

Surgery (License #4191 in OK)

✅

NPI Profile Active January 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2016

Registered at 620 S MADISON ST, SUITE 108, ENID, OK 737017270 (Tel: 5802342289)

📍

Updated Business Mailing Address January 22, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5802342289)

👤

Provider Name / Credentials Updated January 22, 2016

Recorded as JOHN GOULART, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2016

Surgery (License #4191 in OK)

🟢

Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Goulart. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417957085

Entity Type:

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

Enumeration Date: July 26, 2005

Last Update: February 09, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 N Independence Ave, 280

Oklahoma City, OK 731125556

Phone: 5802342289

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.