JOHN CHRISTOPHER GODDARD (MD) – Otolaryngology Physician, NPI 1730278375

JOHN CHRISTOPHER GODDARD (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. ME 109697 (FL). The NPI Number for JOHN CHRISTOPHER GODDARD (MD) is 1730278375

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CHRISTOPHER GODDARD (MD)
NPI
1730278375
Phone
(503) 571-3495
Address
10180 SE SUNNYSIDE RD
Enumeration Date
12 October 2006
Last Update Date
1 August 2014

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2004 (22 years ago)
PAC ID
7517135783
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20140701000162
Address ID
OR973051221SA2400XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:19State licenses:4Digital endpointsOther names

182 OTOLARYNGOLOGY in OR

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Provider Addresses for JOHN CHRISTOPHER GODDARD (MD)

  • Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    SUNNYBROOK MEDICAL BUILDING, DEPT OF OTOLARYNGOLOGY

    CLACKAMAS, OR 970158970

    Phone: (503) 571-3495

    Fax: (503) 571-9004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Cochlear Americas ($220).

Total Amount

$370

General + Research + Ownership

Payments

5

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2023-02-21

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
I20140701000162IOtolaryngologyORTBD
I20230221001365IOtolaryngologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN CHRISTOPHER GODDARD (MD)'s NPI?
Yes. JOHN CHRISTOPHER GODDARD (MD) is listed with NPI 1730278375 in the public NPI dataset.
Is JOHN CHRISTOPHER GODDARD (MD) still practicing?
JOHN CHRISTOPHER GODDARD (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN CHRISTOPHER GODDARD (MD)?
For research purposes, treat JOHN CHRISTOPHER GODDARD (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN CHRISTOPHER GODDARD (MD) on a map?
Expect Clackamas, Oregon as a primary anchor for JOHN CHRISTOPHER GODDARD (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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