DR. JAN JACK GOUDA M.D.
NPI 1427163906
Neurological Surgery in Dayton, OH
NPI Status: Active since August 21, 2006
Contact Information
1 ELIZABETH PL
SUITE # D
DAYTON, OH
ZIP 45417
Phone: (937) 424-2520
Fax: (937) 222-9665
- Individual
- Male
- Neurological Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About JAN GOUDA
This page provides the complete NPI Profile along with additional information for Jan Gouda, a provider established in Dayton, Ohio with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1427163906 assigned on August 2006. The practitioner's primary taxonomy code is 207T00000X with license number 35-072594 (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1427163906
- Provider Name
- DR. JAN JACK GOUDA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 ELIZABETH PL SUITE # D DAYTON, OH 45417
- Location Phone
- (937) 424-2520
- Location Fax
- (937) 222-9665
- Mailing Address
- 1 ELIZABETH PL SUITE # D DAYTON, OH 45417
- Mailing Phone
- (937) 424-2520
- Mailing Fax
- (937) 222-9665
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-21-2006
- Last Update Date
- 06-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-072594
- License State
- OH
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jan Gouda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45417 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Depression screening | Yes | N/A |
| Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. | ||
| Documentation of Current Medications in the Medical Record | 88% | 629 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Patient-Specific Education | 25% | 198 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 32% | 161 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 100% | 198 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 6 | 3 | 9 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 6 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 6 + 6 + 9 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1427163906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649261470 | MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES INC. Organization | Internal Medicine (Hematology & Oncology) | 1 ELIZABETH PL 10 TH FLOOR SUITE 10B DAYTON, OH 45417 (937) 223-2183 |
| 1134192644 | DR. ANDRE TODD HARRIS SR. M.D. Individual | Obstetrics & Gynecology | 1 ELIZABETH PL 5TH FLR, STE. M DAYTON, OH 45417 (937) 228-4942 |
| 1245263615 | YOGESHWAR INC Organization | Pharmacy (Community/Retail Pharmacy) | 1 ELIZABETH PL SUITE 150 DAYTON, OH 45417 (937) 424-4599 |
| 1467532507 | CAMAL LLC DBA ST E'S URGENT CARE Organization | Clinic/Center (Urgent Care) | 1 ELIZABETH PL SUITE 100 DAYTON, OH 45417 (937) 229-9800 |
| 1942350244 | DAYTON SURGEONS INC Organization | Surgery | 1 ELIZABETH PL SUITE 10A DAYTON, OH 45417 (937) 228-4126 |
| 1710008925 | DR. BERNADETTE B D'SOUZA MD Individual | Psychiatry & Neurology (Psychiatry) | 1 ELIZABETH PL SUITE G3 DAYTON, OH 45417 (937) 281-0900 |
| 1326233453 | HOME CARE DOCTORS, INC Organization | General Practice | 1 ELIZABETH PL STE 280 DAYTON, OH 45417 (937) 424-5470 |
| 1003087743 | SCOTT A MURRAY MD Organization | Physical Medicine & Rehabilitation | 1 ELIZABETH PL DAYTON, OH 45417 (937) 309-9670 |
| 1659608701 | MR. HAROLD GARY WARMAN OTR/L Individual | Occupational Therapist | 1 ELIZABETH PL FLOOR 5 AND 6 DAYTON, OH 45417 (937) 512-8308 |
| 1205166683 | MISS ASHLEY ELIZABETH BUIRLEY Individual | Marriage & Family Therapist | 1 ELIZABETH PL WEST PAVILLION, SUITE C DAYTON, OH 45417 (937) 256-5300 |
| 1770813859 | MALONE'S NURSING CONSULTANTS Organization | Clinical Nurse Specialist (Community Health/Public Health) | 1 ELIZABETH PL DAYTON, OH 45417 (937) 660-3090 |
| 1235460924 | DR. KIMBERLY BRANDON PT, ATC/L Individual | Physical Therapist | 1 ELIZABETH PL DAYTON, OH 45417 (937) 228-7009 |
| 1801118336 | MRS. TOSHA RENEE CUMBEE MSW, LISW Individual | Social Worker (Clinical) | 1 ELIZABETH PL SW BUILDING, 10TH FLOOR, SUITE 10B DAYTON, OH 45417 (937) 223-2183 |
| 1366766511 | DEFINITIVE HOME HEALTH CARE, LLC Organization | Home Health | 1 ELIZABETH PL SUITE 800 DAYTON, OH 45417 (937) 276-3099 |
| 1700183654 | CAMAL LLC Organization | Family Medicine (Adult Medicine) | 1 ELIZABETH PL SUITE 100 DAYTON, OH 45417 (937) 229-9800 |
| 1194022608 | CHERYL J. ROBINSON, M.D., LLC Organization | Family Medicine | 1 ELIZABETH PL SUITE 115 DAYTON, OH 45417 (937) 723-2875 |
| 1467743336 | DAYTON HOSPITALIST GROUP, LLC Organization | Internal Medicine | 1 ELIZABETH PL DAYTON, OH 45417 (937) 424-8203 |
| 1104108406 | ALLIANCE PHYSICIAN INC Organization | Surgery (Vascular Surgery) | 1 ELIZABETH PL SUITE 10A-1 DAYTON, OH 45417 (937) 228-4126 |
| 1457616195 | UMADAOP Organization | Substance Abuse Rehabilitation Facility | 1 ELIZABETH PL 4 WEST PAVILLION SUITE 400 DAYTON, OH 45417 (937) 276-2176 |
| 1043566268 | MRS. RACHEL D FORTINO MSW, LISW Individual | Social Worker (Clinical) | 1 ELIZABETH PL DAYTON, OH 45417 (937) 256-5300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427163906, enumerated in the NPI registry as an "individual" on August 21, 2006
The provider is located at 1 Elizabeth Pl Suite # D Dayton, Oh 45417 and the phone number is (937) 424-2520
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MedMutual and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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