DR. DIANE FRANCES GODOROV (D.O.) – Pediatrics Physician, NPI 1942377015
Pediatrics Physician
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NPPES metrics only — not quality of care.
643 PEDIATRIC MEDICINE in WI
Provider Addresses for DR. DIANE FRANCES GODOROV (D.O.)
707 14th St
Baraboo, WI 539131539
Phone: (608) 356-1400
Fax: (608) 356-1367
Type: Location
Commerce Drive, Wyomissing, Berks County, Pennsylvania, 19610, United States
WYOMISSING, PA 196103335
Phone: (610) 372-8044
Fax: (484) 334-7026
Type: Mailing
Spruce Street, West Reading, Berks County, Pennsylvania, 19611, United States
WEST READING, PA 19611
Phone: (484) 628-3637
Fax: (484) 628-8773
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: 2025-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070725000443 | I | Hospitalist | PA | TBD |
| I20200302001668 | I | Pediatric Medicine | NC | TBD |
| I20211103001625 | I | Osteopathic Manipulative Medicine | CA | TBD |
| I20251208003118 | I | Pediatric Medicine | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53913)
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