GERALD C GODFREY (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1487689451

GERALD C GODFREY (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in UNDERSEA AND HYPERBARIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 66600 (WI). The NPI Number for GERALD C GODFREY (M.D.) is 1487689451

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GERALD C GODFREY (M.D.)
NPI
1487689451
Phone
(414) 649-1292
Address
2901 W KINNICKINNIC RIVER PKWY STE 309
Enumeration Date
11 July 2006
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4146465410
Graduation Year
1994 (32 years ago)
PAC ID
1557467214
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20170209001007
Address ID
WI532154330MI2900XAVEX400

Contacts

Secure Messaging
ggodfrey183407@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

26 UNDERSEA AND HYPERBARIC MEDICINE in WI

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Provider Addresses for GERALD C GODFREY (M.D.)

  • West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532153660

    Phone: (414) 649-1292

    Type: Mailing

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • Aurora Saint Luke's Medical Center, 2900, West Oklahoma Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532154330

    Phone: (414) 649-6577

    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: 2017-02-09

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
I20170209001007IUndersea And Hyperbaric 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
99183Management of oxygen chamber therapy19051$0
99213Established patient office or other outpatient visit, 20-29 minutes4735$0
97597Removal of tissue from wound, 20.0 sq cm or less4319$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4335$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 53215)

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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: 6709794258View full group profile

Reviews

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Frequently asked questions

How do payers reference GERALD C GODFREY (M.D.)?
For GERALD C GODFREY (M.D.), use NPI 1487689451 as the unique 10-digit identifier.
Active or inactive — what applies to GERALD C GODFREY (M.D.)?
You should see GERALD C GODFREY (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with GERALD C GODFREY (M.D.)?
GERALD C GODFREY (M.D.)'s record emphasizes Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GERALD C GODFREY (M.D.)?
Travel planning: use Milwaukee, Wisconsin as the reference point for GERALD C GODFREY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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