DR. MARK J. GODDARD (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1184653719

DR. MARK J. GODDARD (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 35-053722 (OH). The NPI Number for DR. MARK J. GODDARD (M.D.) is 1184653719

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J. GODDARD (M.D.)
NPI
1184653719
Phone
(513) 585-5504
Address
PO BOX 636256 CENTRAL CREDENTIALING
Enumeration Date
3 July 2006
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9373863400
Graduation Year
1983 (43 years ago)
PAC ID
2769464916
Group Practice PAC ID
8921431131
Professional Enrollment ID
I20040603000101
Address ID
OH456798002SE230XXDRXX400
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

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040603000101IPhysical Medicine And RehabilitationOHTBD

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
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle10642$0
64643Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity8128$0
64644Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity6128$0
64642Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity4320$0
62369Electronic analysis reprogramming and refill of spinal canal drug infusion pump4221$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 8921431131View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantKY
P O D I A T R YOH
Nurse PractitionerOH
Family PracticeFL
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeLA
Family PracticeOH
Family PracticeTX

Reviews

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Frequently asked questions

Does DR. MARK J. GODDARD (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK J. GODDARD (M.D.) uses 1184653719.
Does the file indicate DR. MARK J. GODDARD (M.D.) is practicing under active NPI?
Directory data currently reports DR. MARK J. GODDARD (M.D.) as active.
What is DR. MARK J. GODDARD (M.D.)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for DR. MARK J. GODDARD (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK J. GODDARD (M.D.) on a map?
Expect Cincinnati, Ohio as a primary anchor for DR. MARK J. GODDARD (M.D.) unless the record lists multiple sites.
Why does DR. MARK J. GODDARD (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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