DR. MARK J GOEDKEN (MD) – Family Medicine Physician, NPI 1386630663

DR. MARK J GOEDKEN (MD) is a healthcare provider. based in Cedar rapids, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 31916 (IA). The NPI Number for DR. MARK J GOEDKEN (MD) is 1386630663

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J GOEDKEN (MD)
NPI
1386630663
Phone
(319) 365-7581
Address
811 5TH AVE SE
Enumeration Date
22 September 2005
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3193657581
Graduation Year
1996 (30 years ago)
PAC ID
2961420054
Professional Enrollment ID
I20100915000296
Address ID
IA524023061CE1515XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DR. MARK J GOEDKEN (MD)

  • 811, 5th Avenue Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52403, United States

    CEDAR RAPIDS, IA 524032421

    Phone: (319) 365-7581

    Fax: (319) 365-0163

    Type: Mailing

  • 1515 42ND ST NE

    CEDAR RAPIDS, IA 524023061

    Phone: (319) 365-7581

    Fax: (319) 365-0163

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
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: 2010-09-15

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
I20100915000296IFamily PracticeIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes602241$0
99213Established patient office or other outpatient visit, 20-29 minutes295154$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit195195$0
G0444Annual depression screening, 5 to 15 minutes191191$0
G0008Administration of influenza virus vaccine119119$0
View full utilization report →

Insurance plans in this area (ZIP 52403)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. MARK J GOEDKEN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MARK J GOEDKEN (MD) with NPI 1386630663.
Is DR. MARK J GOEDKEN (MD) still practicing?
DR. MARK J GOEDKEN (MD) is currently listed as active in the public NPI registry.
What is DR. MARK J GOEDKEN (MD) best known for clinically?
Directory data describes DR. MARK J GOEDKEN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARK J GOEDKEN (MD) list a practice location?
Patients near Cedar Rapids, Iowa may find DR. MARK J GOEDKEN (MD) in results; validate coverage separately.
Why does DR. MARK J GOEDKEN (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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