DR. JONATHAN D GODFREY (M.D.) – Gastroenterology Physician, NPI 1649474719
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 GASTROENTEROLOGY in ID
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Provider Addresses for DR. JONATHAN D GODFREY (M.D.)
Idaho Medical Imaging, 1151, Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
BUILDING A
POCATELLO, ID 832015091
Phone: (208) 232-6616
Fax: (208) 232-6618
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: PENTAX of America, Inc. ($43).
Total Amount
$139
General + Research + Ownership
Payments
6
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131028000557 | I | Gastroenterology | ID | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 123 | 122 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 115 | 110 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 105 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 40 | $0 |
Insurance plans in this area (ZIP 83201)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| N E U R O S U R G E R Y | WA | |
| Internal Medicine | ID | |
| Qualified Audiologist | ID | |
| Thoracic Surgery, Cardiac Surgery | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Physician Assistant | ID | |
| - | ID |
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