DR. FREDERICK AUGUSTUS III GODLEY (M.D.) – Otolaryngology Physician, NPI 1508837816
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 OTOLARYNGOLOGY in RI
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Provider Addresses for DR. FREDERICK AUGUSTUS III GODLEY (M.D.)
845, North Main Street, Providence, Providence County, Rhode Island, 02904, United States
SUITE 1
PROVIDENCE, RI 029045700
Phone: (401) 331-9690
Fax: (401) 331-9609
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 8 Open Payments records for all available years, with a total value of $3,398.
Total Amount is formed as General ($3,398) + Research ($0) + Ownership ($0) = $3,398.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,890).
Total Amount
$3,398
General + Research + Ownership
Payments
8
Total payment records
General Amount
$3,398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $1,890 |
| PFIZER INC. | $1,249 |
| Amgen Inc. | $119 |
| ABBVIE INC. | $100 |
| Lundbeck LLC | $41 |
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: 2011-02-16
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 |
|---|---|---|---|---|
| I20110216000603 | I | Otolaryngology | RI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 51 | $0 |
| 69210 | Removal of impacted ear wax | 39 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02904)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | RI | 92567 | Eardrum testing using ear probe | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| Qualified Audiologist | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| Qualified Audiologist | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| - | RI | |
| Qualified Audiologist | CT | |
| Qualified Audiologist | NY | |
| O T O L A R Y N G O L O G Y | RI | |
| O T O L A R Y N G O L O G Y | DC |
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