DR. MATTHEW GODDARD (DO) – Sports Medicine (Family Medicine) Physician, NPI 1881254944

DR. MATTHEW GODDARD (DO) is a healthcare provider. based in South miami, Florida. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. OS20204 (FL). The NPI Number for DR. MATTHEW GODDARD (DO) is 1881254944

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW GODDARD (DO)
NPI
1881254944
Phone
(305) 284-7761
Address
7031 SW 62ND AVE
Enumeration Date
19 June 2019
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9545632707
Graduation Year
2019 (7 years ago)
PAC ID
0547624017
Group Practice PAC ID
6709829427
Professional Enrollment ID
I20230918000080
Address ID
FL333085530FT4109XHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. MATTHEW GODDARD (DO)

  • Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Mailing

  • 7031 SW 62ND AVE FL 33143

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Location

  • 4109 N FEDERAL HWY

    FORT LAUDERDALE, FL 333085530

    Phone: (954) 563-2707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230918000080IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709829427View full group profile
NameSpecialtyState
Family Practice, Sports MedicineFL
Family Practice, Osteopathic Manipulative MedicineFL
Sports Medicine, Family Practice, Osteopathic Manipulative MedicineFL
Osteopathic Manipulative Medicine, Family PracticeFL
Family PracticeFL
Sports Medicine, Osteopathic Manipulative Medicine, Pain Management, Family PracticeFL

Reviews

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Frequently asked questions

How is DR. MATTHEW GODDARD (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. MATTHEW GODDARD (DO) with NPI 1881254944.
Does CMS list DR. MATTHEW GODDARD (DO) as active?
Yes — DR. MATTHEW GODDARD (DO) is active in the NPI listing used on this page.
What taxonomy line describes DR. MATTHEW GODDARD (DO)?
For research purposes, treat DR. MATTHEW GODDARD (DO) as Sports Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MATTHEW GODDARD (DO) serve?
DR. MATTHEW GODDARD (DO)'s listing highlights South Miami, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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