JACEY E GODDARD (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1073569216

JACEY E GODDARD (DO) is a healthcare provider. based in Freeport, Maine. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 1766 (ME). The NPI Number for JACEY E GODDARD (DO) is 1073569216

Main info

Female
25 Years Of Experience
Name
JACEY E GODDARD (DO)
NPI
1073569216
Phone
(207) 865-6655
Address
491 US ROUTE 1
Enumeration Date
26 May 2006
Last Update Date
3 May 2016

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2078656655
Graduation Year
2001 (25 years ago)
PAC ID
8224008784
Group Practice PAC ID
3577735695
Professional Enrollment ID
I20040730000602
Address ID
ME040865728TO460XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

85 OSTEOPATHIC MANIPULATIVE MEDICINE in ME

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Provider Addresses for JACEY E GODDARD (DO)

  • Route 1, Freeport, Cumberland County, Maine, 04032, United States

    FREEPORT, ME 040327021

    Phone: (207) 865-6655

    Fax: (207) 865-6653

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-30

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
I20040730000602IOsteopathic Manipulative MedicineMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes38049$0
98928Osteopathic manipulative treatment, 7-8 body regions20245$0
98929Osteopathic manipulative treatment, 9-10 body regions19645$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 04032)

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Provider's Procedures

JACEY E GODDARD (DO) performs procedures in OSTEOPATHIC MANIPULATIVE MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OSTEOPATHIC MANIPULATIVE MEDICINEME98928Osteopathic manipulative treatment to 7-8 body regions29648

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: 3577735695View full group profile
NameSpecialtyState
Osteopathic Manipulative Medicine, Family PracticeME

Reviews

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Frequently asked questions

What identifier follows JACEY E GODDARD (DO) across health systems?
The NPI 1073569216 uniquely identifies JACEY E GODDARD (DO) in U.S. healthcare data.
Should I treat JACEY E GODDARD (DO) as an active provider?
Patients and plans typically see JACEY E GODDARD (DO) as active in the national extract.
What type of care does JACEY E GODDARD (DO) provide?
JACEY E GODDARD (DO)'s profile centers on Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Is JACEY E GODDARD (DO) tied to Freeport, Maine?
If you are local to Freeport, Maine, JACEY E GODDARD (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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