LEAH GOEDECKE (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1457974073
Neuromusculoskeletal Medicine & OMM Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
48 SPORTS MEDICINE in NV
Provider Addresses for LEAH GOEDECKE (DO)
6765 W Charleston Blvd Ste 150
Las Vegas, NV 891462001
Phone: (702) 518-5774
Type: Location
4660 S HAGADORN RD STE 500
EAST LANSING, MI 488236804
Phone: (517) 432-6144
Type: Mailing
900 S Pavilion Center Dr Ste 180
Las Vegas, NV 891444582
Phone: (702) 518-5774
Type: Location
6765 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 891462001
Phone: (702) 518-5774
Fax: (702) 852-0890
Type: Mailing
3301 COLLEGE AVE
DAVIE, FL 333147796
Phone: (954) 262-9417
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Nevro Corp. ($35).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $35 |
| DePuy Synthes Sales Inc. | $15 |
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: 2024-08-29
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 |
|---|---|---|---|---|
| I20240829002949 | I | Sports Medicine | NV | 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 89146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | VA | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | TN | |
| - | NM | |
| - | WI | |
| Physician Assistant | PA | |
| - | OH | |
| Physician Assistant | NV |
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