LUKE GODWIN (DO) – Dermatology Physician, NPI 1154958031

LUKE GODWIN (DO) is a healthcare provider. based in Blacksburg, Virginia. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 0102208702 (VA). The NPI Number for LUKE GODWIN (DO) is 1154958031

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LUKE GODWIN (DO)
NPI
1154958031
Phone
(540) 951-3376
Address
3706 S MAIN ST STE B
Enumeration Date
23 March 2020
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409513376
Graduation Year
2020 (6 years ago)
PAC ID
3476977976
Group Practice PAC ID
0143494203
Professional Enrollment ID
I20240910004863
Address ID
VA240607006BL3706XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for LUKE GODWIN (DO)

  • 3706 S MAIN ST STE B

    BLACKSBURG, VA 240607017

    Phone: (540) 951-3376

    Type: Mailing

  • 3700 S MAIN ST

    BLACKSBURG, VA 240607017

    Phone: (540) 953-3528

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $2,579.

Total Amount is formed as General ($2,579) + Research ($0) + Ownership ($0) = $2,579.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,114).

Total Amount

$2,579

General + Research + Ownership

Payments

112

Total payment records

General Amount

$2,579

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-09-10

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
I20240910004863IDermatologyVATBD

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 24060)

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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: 0143494203View full group profile
NameSpecialtyState
D E R M A T O L O G YVA
Nurse PractitionerVA
Physician AssistantVA
Physician AssistantVA
Physician AssistantTN
D E R M A T O L O G YVA
D E R M A T O L O G YWV
D E R M A T O L O G YVA
D E R M A T O L O G YVA
Physician AssistantVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LUKE GODWIN (DO)?
LUKE GODWIN (DO) — NPI 1154958031 — is the standard way to identify this listing.
Does CMS list LUKE GODWIN (DO) as active?
Yes — LUKE GODWIN (DO) is active in the NPI listing used on this page.
What is LUKE GODWIN (DO) best known for clinically?
Directory data describes LUKE GODWIN (DO) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LUKE GODWIN (DO) on a map?
Expect Blacksburg, Virginia as a primary anchor for LUKE GODWIN (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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