DOUGLAS GODERWIS (MD) – Internal Medicine Physician, NPI 1760439095
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 PEDIATRIC MEDICINE in KY
Provider Addresses for DOUGLAS GODERWIS (MD)
7300 TURFWAY RD
FLORENCE, KY 410421375
Phone: (859) 212-4700
Fax: (859) 212-4761
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452635283
Phone: (859) 212-4700
Fax: (859) 212-4761
Type: Mailing
7370, Turfway Road, Florence, Boone County, Kentucky, 41042, United States
SU. 100
FLORENCE, KY 41042
Phone: (859) 212-4700
Fax: (859) 212-4761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 233 Open Payments records for all available years, with a total value of $4,264.
Total Amount is formed as General ($4,264) + Research ($0) + Ownership ($0) = $4,264.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($802).
Total Amount
$4,264
General + Research + Ownership
Payments
233
Total payment records
General Amount
$4,264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $802 |
| GlaxoSmithKline, LLC. | $445 |
| Novo Nordisk Inc | $354 |
| Lilly USA, LLC | $348 |
| AstraZeneca Pharmaceuticals LP | $203 |
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: 2008-09-25
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20080925000388 | I | Internal Medicine | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 450 | 239 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 183 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | 133 | $0 |
| 83036 | Hemoglobin a1c level | 119 | 85 | $0 |
| G0008 | Administration of influenza virus vaccine | 75 | 73 | $0 |
Insurance plans in this area (ZIP 41042)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KY | 90670 | Pneumococcal vaccine for injection into muscle | 50 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Marriage And Family Therapist | IN | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| - | FL | |
| Nurse Practitioner | KY |
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.