DR. MARK J. GODDARD (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1184653719
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
510 PHYSICAL MEDICINE AND REHABILITATION in OH
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Provider Addresses for DR. MARK J. GODDARD (M.D.)
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 452636256
Phone: (513) 585-5504
Fax: (513) 585-5511
Type: Mailing
151 W GALBRAITH RD
CINCINNATI, OH 452161015
Phone: (513) 416-2484
Fax: (513) 418-2698
Type: Mailing
151, West Galbraith Road, Hartwell, Cincinnati, Hamilton County, Ohio, 45247, United States
CINCINNATI, OH 452161015
Phone: (513) 948-2707
Fax: (513) 948-2698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($94).
Total Amount
$94
General + Research + Ownership
Payments
3
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ipsen Biopharmaceuticals, Inc | $94 |
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: 2004-06-03
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 |
|---|---|---|---|---|
| I20040603000101 | I | Physical Medicine And Rehabilitation | OH | 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 |
|---|---|---|---|---|
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 106 | 42 | $0 |
| 64643 | Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 81 | 28 | $0 |
| 64644 | Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity | 61 | 28 | $0 |
| 64642 | Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity | 43 | 20 | $0 |
| 62369 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 42 | 21 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Physician Assistant | KY | |
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Family Practice | FL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | LA | |
| Family Practice | OH | |
| Family Practice | TX |
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