DR. ADAM D GODDARD (D.O.) – Ophthalmology Physician, NPI 1376657684

DR. ADAM D GODDARD (D.O.) is a healthcare provider. based in Stillwater, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. 53005 (MN). The NPI Number for DR. ADAM D GODDARD (D.O.) is 1376657684

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM D GODDARD (D.O.)
NPI
1376657684
Phone
(651) 275-3000
Address
1719 TOWER DR W STE 100
Enumeration Date
17 August 2006
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6512753000
Graduation Year
2002 (24 years ago)
PAC ID
1557487436
Group Practice PAC ID
4486552437
Professional Enrollment ID
I20100928001509
Address ID
MN550825085ST2950XWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for DR. ADAM D GODDARD (D.O.)

  • Tower Drive West, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550827512

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Mailing

  • Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550825085

    Phone: (651) 275-3000

    Fax: (651) 275-3027

    Type: Location

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: 2015-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100928001509IOphthalmologyMNTBD
I20150831001850IOphthalmologyWITBD

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
92014Established patient complete exam of visual system425421$0
92136Measurement of corneal curvature and depth of eye315131$0
66984Removal of cataract with insertion of prosthetic lens174100$0
92250Photography of the retina164162$0
99213Established patient office or other outpatient visit, 20-29 minutes136124$0
View full utilization report →

Insurance plans in this area (ZIP 55082)

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Provider's Procedures

DR. ADAM D GODDARD (D.O.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMN92134Diagnostic imaging of retina3329

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: 4486552437View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. ADAM D GODDARD (D.O.) in the U.S.?
In the U.S., DR. ADAM D GODDARD (D.O.) is identified by NPI 1376657684.
Should I treat DR. ADAM D GODDARD (D.O.) as an active provider?
Patients and plans typically see DR. ADAM D GODDARD (D.O.) as active in the national extract.
Which specialty label fits DR. ADAM D GODDARD (D.O.)?
NPPES ties DR. ADAM D GODDARD (D.O.) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ADAM D GODDARD (D.O.)?
DR. ADAM D GODDARD (D.O.) shows a connection to Stillwater, Minnesota in registry-derived data.
Can I export DR. ADAM D GODDARD (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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