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GUILHERME GODOY MD
NPI 1013219328
Urology in Houston, TX

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
6620 MAIN ST, SUITE 1325, MS BCM380, HOUSTON, TX 77030(713) 798-5628(713) 798-5553 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Guilherme Godoy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUILHERME GODOY MD (NPI 1013219328) is an individual urology provider in Houston, Texas, licensed in Texas (P4448) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1013219328
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGUILHERME GODOYCredential: MD
Location Address6620 MAIN ST, SUITE 1325, MS BCM380Houston, TX 77030-2348
Mailing Address6620 Main St, Suite 1325, Ms Bcm380Houston, TX 77030-2348 · (713) 798-5628 · Fax (713) 798-5553
Phone(713) 798-5628
Fax(713) 798-5553
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 19, 2010
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1013219328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · P4448
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

6620 MAIN ST, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guilherme Godoy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325292253
PECOS Enrollment IDI20130131000259
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services61 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
40 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services14 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
22 services18 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
19 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims2,200 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$1.59 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers30 claims62 services$8.27 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier17 claims30 services$5.89 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers34 claims1,290 services$2.97 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers14 claims380 services$4.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SRIKANTH KONERU M.D., CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-1000
BAYLOR COLLEGE OF MEDICINE
Orthopaedic Surgery
6620 MAIN ST, SUITE 1325
HOUSTON, TX 77030
Harris County (713) 986-6024
JOHN FARMER MD
Internal Medicine (Cardiovascular Disease)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-2545
KJERSTI MARIE AAGAARD-TILLERY MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Harris County (713) 798-7500
DR. RONALD TIMOTHY COTTON MD
Transplant Surgery
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Harris County (832) 355-1400
DR. MARCUS K HOFFMAN MD
Surgery (Surgical Critical Care)
6620 MAIN ST, SUITE 1350
HOUSTON, TX 77030
Harris County (713) 798-2262
JOHN M. VIERLING MD
Internal Medicine (Gastroenterology)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-2500
SHAWN SPENCER GROTH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6620 MAIN ST, BAYLOR CLINIC 1325
HOUSTON, TX 77030
Harris County (713) 798-6376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guilherme Godoy's NPI number?

The NPI number for Guilherme Godoy is 1013219328. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Guilherme Godoy located?

Guilherme Godoy practices at 6620 Main St Suite 1325, Ms Bcm380, Houston, TX 77030. The listed phone number is (713) 798-5628.

What is Guilherme Godoy's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Guilherme Godoy enrolled in Medicare?

Yes. Guilherme Godoy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Guilherme Godoy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare and 2 other insurers list Guilherme Godoy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guilherme Godoy affiliated with any hospitals?

According to CMS data, Guilherme Godoy is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Harris Health System.

When was this NPI record last updated?

The NPPES record for Guilherme Godoy was last updated on November 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.