DR. MARK GODFREY M.D.
NPI 1235576554
Internal Medicine - Pulmonary Disease in New Haven, CT

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
789 HOWARD AVE, NEW HAVEN, CT 06519(203) 785-4198 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 18, 2021, Jun 4, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Mark Godfrey M.d. NPPES

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

DR. MARK GODFREY M.D. (NPI 1235576554) is an individual pulmonary disease provider in New Haven, Connecticut, licensed in Connecticut (65880) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235576554
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARK GODFREYCredential: M.D.
Location Address789 HOWARD AVENew Haven, CT 06519-1304
Mailing Address789 Howard AveNew Haven, CT 06519-1304 · (203) 785-4198
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1235576554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 65880
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP02748 (RI), MD15361 (RI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 65880 (CT)
789 HOWARD AVE, New Haven, CT 06519

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. Mark 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 ID3870710452
PECOS Enrollment IDI20200505000337
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 26

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
249 services113 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services58 patients
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.
73 services73 patients
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653
This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.
57 services57 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
49 services48 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.
38 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$3.83 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.

Internal Medicine (Gastroenterology)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Pediatrics (Pediatric Emergency Medicine)
789 HOWARD AVE, YNHH PEDIATRICS
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519
Internal Medicine (Infectious Disease)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Radiology (Diagnostic Radiology)
789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519
Nurse Practitioner (Adult Health)
789 HOWARD AVE
NEW HAVEN, CT 06519
Pharmacist
789 HOWARD AVE
NEW HAVEN, CT 06519

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 Mark Godfrey's NPI number?

The NPI number for Mark Godfrey is 1235576554. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Mark Godfrey located?

Mark Godfrey practices at 789 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 785-4198.

What is Mark Godfrey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Godfrey enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Godfrey was last updated on July 21, 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.