BRENT W GODEK (M.D.) – Family Medicine Physician, NPI 1508841974

BRENT W GODEK (M.D.) is a healthcare provider. based in Corvallis, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD151050 (OR). The NPI Number for BRENT W GODEK (M.D.) is 1508841974

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRENT W GODEK (M.D.)
NPI
1508841974
Phone
(541) 812-5570
Address
PO BOX 1188
Enumeration Date
8 December 2005
Last Update Date
3 November 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5418124850
Graduation Year
2001 (25 years ago)
PAC ID
0749268142
Group Practice PAC ID
9931097987
Professional Enrollment ID
I20100712000381
Address ID
OR973211957AL705XXSWXX401

Contacts

Secure Messaging
bgodek7129@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,083 FAMILY PRACTICE in OR

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Provider Addresses for BRENT W GODEK (M.D.)

  • Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States

    CORVALLIS, OR 973391188

    Phone: (541) 812-5570

    Fax: (541) 812-5699

    Type: Mailing

  • Samaritan Family Medicine - Geary Street, 1700, Geary Street Southeast, Albany, Linn County, Oregon, 97322, United States

    ALBANY, OR 973226842

    Phone: (541) 812-5570

    Fax: (541) 812-5699

    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: 2010-07-12

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
I20100712000381IFamily PracticeORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4644$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 97339)

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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: 9931097987View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Anesthesiology, Interventional Pain ManagementOR
-OR
-OR
Clinical PsychologistOR
Internal Medicine, Pediatric MedicineOR
Family PracticeOR
-OR

Reviews

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Frequently asked questions

What number should I use to identify BRENT W GODEK (M.D.) for billing?
Administrative and clinical systems typically use NPI 1508841974 for BRENT W GODEK (M.D.).
Should I treat BRENT W GODEK (M.D.) as an active provider?
Patients and plans typically see BRENT W GODEK (M.D.) as active in the national extract.
Which specialty label fits BRENT W GODEK (M.D.)?
NPPES ties BRENT W GODEK (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRENT W GODEK (M.D.)?
BRENT W GODEK (M.D.) is associated with Corvallis, Oregon in the same public data insurers reference.
Why is information missing for BRENT W GODEK (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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