CHERYL R GOECKERMANN (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1083670665

CHERYL R GOECKERMANN (MD) is a healthcare provider. based in Baraboo, Wisconsin. specializing in ADDICTION MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 38184-020 (WI). The NPI Number for CHERYL R GOECKERMANN (MD) is 1083670665

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL R GOECKERMANN (MD)
NPI
1083670665
Phone
(608) 355-3800
Address
1700 TUTTLE ST
Enumeration Date
24 April 2006
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6082516100
Graduation Year
1995 (31 years ago)
PAC ID
6305868969
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20051222000571
Address ID
WI537151830MA700XXSTXX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
cgoeckermann262513@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

45 ADDICTION MEDICINE in WI

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Provider Addresses for CHERYL R GOECKERMANN (MD)

  • 1700, Tuttle Street, Baraboo, Sauk County, Wisconsin, 53913, United States

    BARABOO, WI 539133319

    Phone: (608) 355-3800

    Fax: (608) 355-7001

    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)

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: 2005-12-22

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
I20051222000571IAddiction MedicineWITBD

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 minutes10122$0
G0008Administration of influenza virus vaccine5252$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4747$0
99213Established patient office or other outpatient visit, 20-29 minutes4115$0
90480Admn sarscov2 vacc 1 dose3333$0
View full utilization report →

Insurance plans in this area (ZIP 53913)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

What federal number belongs to CHERYL R GOECKERMANN (MD)?
The federal identifier for CHERYL R GOECKERMANN (MD) is NPI 1083670665.
Is CHERYL R GOECKERMANN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CHERYL R GOECKERMANN (MD) list a primary specialty?
If you are matching referrals, note Addiction Medicine (Internal Medicine) Physician for CHERYL R GOECKERMANN (MD). Clinical services aligned with this taxonomy classification.
Does CHERYL R GOECKERMANN (MD) practice in Wisconsin?
You will see Baraboo, Wisconsin on file for CHERYL R GOECKERMANN (MD) alongside any extra practice locations.
Is CHERYL R GOECKERMANN (MD) a real provider?
This page reflects official NPPES data for NPI 1083670665. Always confirm identity and privileges with the practice and licensing boards.

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