Medicare Enrolled

Dr. Hubert Gooch, M.D.

Orthopaedic Surgery of the Spine Physician · Asheville, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
7 VANDERBILT PARK DR, Asheville, NC 28803
8282557776
In practice since 2005 (20 years)
NPI: 1700878212 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Gooch from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gooch

Dr. Hubert Gooch is an orthopaedic surgery of the spine physician in Asheville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gooch performed 338 Medicare services across 305 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gooch received a total of $8,230 from 17 pharmaceutical and/or device companies across 47 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Gooch is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 338 Medicare services $8,230 industry payments

Medicare Practice Summary

Medicare Utilization ↗
338
Medicare services
Bottom 16% in NC for orthopaedic surgery of the spine physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
305
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~17 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
104 $109 $394
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
98 $60 $195
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
35 $33 $122
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
33 $88 $273
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
19 $13 $65
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
15 $126 $381
Computer-assisted spinal procedure
A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution.
12 $175 $658
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
11 $423 $3,136
MRI of lower spine, without contrast
A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine.
11 $94 $771
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,230
Total received (2018-2024)
Avg $1,176/year across 7 years
Bottom 41% in NC for orthopaedic surgery of the spine physician
17
Companies
47
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,185 (50.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,045 (49.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,790
2023
$825
2022
$378
2021
$125
2020
$35
2019
$945
2018
$131

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Choice Spine, LLC
$4,045
Peerless Surgical Inc.
$945
Arthrex, Inc.
$687
Globus Medical, Inc.
$29
Bioventus LLC
$25
Medtronic, Inc.
$22
Abbott Laboratories
$21
Orthofix Medical, Inc.
$16
Top 3 companies account for 98.0% of 2024 payments
All-time payments by company (2018-2024) ›
Choice Spine, LLC
$4,303
Medtronic USA, Inc.
$1,044
Peerless Surgical Inc.
$945
Arthrex, Inc.
$687
Carlsmed, Inc.
$315
Globus Medical, Inc.
$194
LENOSS MEDICAL INC
$178
Providence Medical Technology, Inc.
$177
Alphatec Spine, Inc
$144
Orthofix Medical, Inc.
$46
ulrich medical USA, Inc.
$42
SI-BONE, Inc.
$35
Spineology Inc.
$32
Bioventus LLC
$25
Camber Spine Technologies LLC
$22
Medtronic, Inc.
$22
Abbott Laboratories
$21
Top 3 companies account for 76.4% of all-time payments
Associated products mentioned in payments ›
AQUAMANTYS(TM) · BLACKHAWK CERVICAL SPACER SYSTEM · CD HORIZON · DUROLANE · EXCELSIUS GPS · Excelsius3D Imaging System · Invictus OPEN · LANCER PEDICLE SCREW SYSTEM · MazorX - Renaissance · MazorX Renaissance · PENTA · PIVOX Oblique Lateral Spinal System · Physio-Stim · Rampart Duo Interbody Fusion System · Spinal-Stim · aprevo · iFuse Implant
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (51%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an orthopaedic surgery of the spine physician in Asheville?
Compare orthopaedic surgery of the spine physicians in the Asheville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopaedic surgery of the spine physicians within 10 mi
7
Per 100K population
2.6
County median income
$70,578
Nearest hospital
MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE
4.8 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Gooch is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Gooch experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Gooch performed 104 new patient office visit (45-59 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gooch receive payments from pharmaceutical companies?
Yes. Dr. Gooch received a total of $8,230 from 17 companies across 47 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gooch's costs compare to other orthopaedic surgery of the spine physicians in Asheville?
Dr. Gooch's average Medicare payment per service is $92. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gooch) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →