ELIZABETH LYNNELLE GODFREY (MD) – Family Medicine Physician, NPI 1063041465
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for ELIZABETH LYNNELLE GODFREY (MD)
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 496847823
Phone:
Type: Mailing
419 S CORAL ST
KALKASKA, MI 496462503
Phone: (231) 258-7506
Type: Location
1250 E Michigan Ave Ste C
Grayling, MI 497387074
Phone: (989) 348-0550
Type: Location
825 N Center Ave
Gaylord, MI 497351592
Phone: (989) 731-2112
Type: Location
14700 Lake Shore Dr
Charlevoix, MI 497201999
Phone: (231) 547-3840
Type: Location
400 Hobart St
Cadillac, MI 496012331
Phone: (231) 876-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $956.
Total Amount is formed as General ($956) + Research ($0) + Ownership ($0) = $956.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($192).
Total Amount
$956
General + Research + Ownership
Payments
24
Total payment records
General Amount
$956
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $192 |
| Nevro Corp. | $172 |
| Braeburn Inc. | $143 |
| Astellas Pharma US Inc | $110 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $76 |
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: 2023-07-14
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 |
|---|---|---|---|---|
| I20230714003233 | I | Family Practice | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Family Practice | MI |
Reviews
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