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Dr. Jack D Goldstein , MD

Orthopaedic Surgery • E Providence, RI

Active NPI 1245233261 Individual Practitioner Male Practitioner
Practice location in NPPES

400 Massasoit Ave, Suite 201
E Providence, RI 029142012

Call 4019195222 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 Massasoit Ave
Suite 201

E Providence, RI 029142012

Telephone 4019195222
Fax 4019195227

Medicare patients

145 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $72,154 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $53,100 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

353 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,751 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $9,454.67 across 3 records.

By nature of payment

  • Debt forgiveness: $9,356.37 across 1 record.
  • Food and Beverage: $98.30 across 2 records.

Reporting-company totals

  • Olympus America Inc.: $9,356.37 across 1 record.
  • Stryker Corporation: $74.70 across 1 record.
  • DePuy Synthes Sales Inc.: $23.60 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Goldstein has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Goldstein as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in E Providence and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Rhode Island (2024, 59 clinicians with data). Median for this group: 993. Middle half: 410 to 1,899.

Too few clinicians listed under Orthopaedic Surgery in E Providence have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Orthopaedic Surgery in Rhode Island (2024, 59 clinicians with data). Median for this group: $68,720. Middle half: $32,872 to $147,483.

Too few clinicians listed under Orthopaedic Surgery in E Providence have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Orthopaedic Surgery in Rhode Island (2024, 59 clinicians with data). Median for this group: $49,621. Middle half: $23,746 to $113,610.

Too few clinicians listed under Orthopaedic Surgery in E Providence have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Orthopaedic Surgery in Rhode Island (2024, 91 clinicians with data). Median for this group: 102. Middle half: 35 to 328.

Too few clinicians listed under Orthopaedic Surgery in E Providence have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Orthopaedic Surgery in Rhode Island (2024, 91 clinicians with data). Median for this group: $1,122. Middle half: $289 to $2,791.

Too few clinicians listed under Orthopaedic Surgery in E Providence have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Orthopaedic Surgery with a practice address in E Providence, RI (138 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $9,454.67.

Manufacturer Payment Nature Product Type Amount ($)
Olympus America Inc.
Debt forgiveness
In-kind items and services
EVIS EXERA III COLONOVIDEOSCOPE General $9,356.37
Stryker Corporation
Food and Beverage
In-kind items and services
MAKO General $74.70
DePuy Synthes Sales Inc.
Food and Beverage
In-kind items and services
MONOVISC General $23.60

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
1,217 16 $38.00 $17.35
J1010 Injection, methylprednisolone acetate, 1 mg
295 12 $1.25 $0.13
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
228 100 $175.00 $90.82
73562 X-ray of knee, 3 views
164 85 $101.00 $41.18
73030 X-ray of shoulder, minimum of 2 views
74 42 $130.00 $34.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 54 $255.00 $129.08
20610 Aspiration and/or injection of fluid from large joint
65 21 $257.00 $61.29
73502 X-ray of hip, 2-3 views
64 38 $100.00 $48.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $300.00 $107.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 14 $280.00 $181.58

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 209 3,514 $1,724.87 58
Amoxicillin Amoxicillin 42 367 $189.46 35
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 33 342 $428.83 18
Meloxicam Meloxicam 27 930 $140.51 —
Warfarin Sodium Warfarin Sodium 24 494 $139.42 21
Hydroxyzine Hcl Hydroxyzine Hcl 14 95 $128.01 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES RI RI8073

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
9020116 (RI)
Other Identifier Aetna Us Healthcare
2432493 (RI)
Other Identifier Tufts
779577 (RI)
Other Identifier Railroad Medicare
200042974 (RI)
Other Identifier Cigna
2797369003 (RI)
Other Identifier United Healthcare
0900689 (PR)
Other Identifier Ri Blue Cross Blue Shield
0000022384 (RI)
Other Identifier Ri Blue Chip
202113 (RI)
Other Identifier Neighborhood Health
15131 (RI)
Other Identifier Harvard Pilgrim Health Ca
61829 (RI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20080130000273

Enrollment State Jurisdiction

MA

PECOS Control ID

3274427414

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jessica Leblanc , RNP

Nurse Practitioner - Acute Care

NPI 1144606799

Career & Practice History

NPI enumerated May 23, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1245233261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: November 02, 2009
Sole Proprietor: No

Mailing Address

400 Massasoit Ave, Suite 201

E Providence, RI 029142012

Phone: 4019195222

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.