Blaine Goodman
NPI 1104483718 · Certified Registered Nurse Anesthetist · Rolla, MO
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blaine Goodman is a Certified Registered Nurse Anesthetist provider in Rolla, MO (NPI 1104483718).
Provider details
- NPI number
- 1104483718
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2019012508 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
104 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 18 | $132 |
| Anesthesia for Insertion of Permanent Heart Pacemaker00530 | 17 | $194 |
| Anesthesia for Procedure for Total Knee Joint Replacement01402 | 16 | $317 |
| Anesthesia for Shock Wave Therapy for Urinary System Stones Without Water Bath00873 | 15 | $185 |
| Anesthesia for Extensive Surgery on Spine00670 | 13 | $594 |
| Anesthesia for Other Procedure on Urinary System Through Urethra00910 | 13 | $117 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$69 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2019-05-20
Frequently asked questions
- What is Blaine Goodman's NPI number?
- Blaine Goodman's National Provider Identifier (NPI) is 1104483718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blaine Goodman's specialty?
- Blaine Goodman is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blaine Goodman located?
- Blaine Goodman's practice location on file with NPPES is 1000 W 10th St, Rolla, MO 65401-2905.
- What is Blaine Goodman's phone number?
- The practice phone number listed in the NPPES registry for Blaine Goodman is (573) 458-8899.
- Does Blaine Goodman accept Medicare?
- Blaine Goodman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blaine Goodman's NPI active?
- Yes — Blaine Goodman's NPI (1104483718) is active in the NPPES registry as of the last update on 2019-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.