DR. KYLE J GODFREY M.D.
NPI 1104268994
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in New York, NY

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE FL 12, NEW YORK, NY 10021(646) 962-2020 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Mar 4, 2020, Feb 20, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Kyle J Godfrey M.d. NPPES

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

DR. KYLE J GODFREY M.D. (NPI 1104268994) is an individual ophthalmic plastic and reconstructive surgery provider in New York, New York, licensed in New York (287321) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Georgetown University School Of Medicine (2013).

NPPES Registry Identity

NPI1104268994
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. KYLE J GODFREYCredential: M.D.
Location Address1305 YORK AVE FL 12New York, NY 10021-5663
Mailing Address1305 York Ave, 11th FloorNew York, NY 10021-5663
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2013
Enumeration DateJuly 23, 2013
Last NPPES UpdateOctober 23, 20236 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1104268994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Licenses Licensed in NY · 287321 Licensed in CA · A132536
Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

1305 YORK AVE FL 12, New York, NY 10021

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

Dr. Kyle J Godfrey M.d. 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 ID2668765207
PECOS Enrollment IDI20170710001733
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 17

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
184 services174 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
126 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services93 patients
Probing of nasal tear duct 68840
Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.
57 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021

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 Kyle Godfrey's NPI number?

The NPI number for Kyle Godfrey is 1104268994. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Kyle Godfrey located?

Kyle Godfrey practices at 1305 York Ave Fl 12, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Kyle Godfrey's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Kyle Godfrey enrolled in Medicare?

Yes. Kyle Godfrey 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.

Is Kyle Godfrey affiliated with any hospitals?

According to CMS data, Kyle Godfrey is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Godfrey was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.