POLLY GODFREY MD
NPI 1194257154
Hospitalist in Evanston, IL

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
2650 RIDGE AVE., IM HOSPITALISTS STE 4206, EVANSTON, IL 60201(847) 570-1010(847) 733-5108 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2022, Mar 10, 2022, Aug 12, 2021 and 1 more (4 updates tracked since 2017).

About Polly Godfrey Md NPPES

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

POLLY GODFREY MD (NPI 1194257154) is an individual hospitalist provider in Evanston, Illinois, licensed in Illinois (036155636) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194257154
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePOLLY GODFREYCredential: MD
Location Address2650 RIDGE AVE., IM HOSPITALISTS STE 4206Evanston, IL 60201
Mailing Address2650 Ridge Ave., Im Hospitalists Ste 4206Evanston, IL 60201 · (847) 570-1010 · Fax (847) 733-5108
Fax(847) 733-5108
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1194257154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in IL · 036155636✔ Licensed in WI · 75605
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036155636 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036155636 (IL)
2650 RIDGE AVE., Evanston, IL 60201

Secondary Practice Locations 2

Location 13801 Spring StMount Pleasant, WI 53405-1667 · Phone (262) 687-4011
Location 2420 DELAWARE ST SE, MMC 913Minneapolis, MN 55455-0341 · Phone (612) 624-0990

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Polly Godfrey 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 ID4385913854
PECOS Enrollment IDI20210923001136, I20220615000026
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Polly Godfrey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
Internal Medicine
7435 W TALCOTT AVE
Chicago, IL 60631
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Chicago Physician Services PC
  • 79 clinicians in this Medicare group
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services73 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2650 RIDGE AVE., SUITE 1420
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Physician Assistant (Surgical)
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201

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 Polly Godfrey's NPI number?

The NPI number for Polly Godfrey is 1194257154. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Polly Godfrey located?

Polly Godfrey practices at 2650 Ridge Ave. Im Hospitalists Ste 4206, Evanston, IL 60201. The listed phone number is (847) 570-1010.

What is Polly Godfrey's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Polly Godfrey enrolled in Medicare?

Yes. Polly 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.

Which organizations bill Medicare for Polly Godfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Godfrey reassigns Medicare benefits to 4 organizations: Endeavor Health Medical Group (Evanston, IL), Chicago Physician Services, P.C. (Chicago, IL), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Polly Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Polly Godfrey accept?

Health plans from Anthem Blue Cross and Blue Shield list Polly Godfrey 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 Polly Godfrey affiliated with any hospitals?

According to CMS data, Polly Godfrey is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Polly Godfrey was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.