DR. DWIGHT JUSTIN GODDARD MD
NPI 1407835572
Family Medicine in Newark, OH
About Dr. Dwight Justin Goddard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DWIGHT JUSTIN GODDARD MD (NPI 1407835572) is an individual family medicine provider in Newark, Ohio, licensed in Ohio (35.137356) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of University Of California, Geffen School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Dwight Justin Goddard 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dwight Goddard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Licking Memorial Health Professionals
- 280 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Licking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dwight Goddard's NPI number?
The NPI number for Dwight Goddard is 1407835572. It was assigned to this individual provider in the NPPES registry on January 17, 2006.
Where is Dwight Goddard located?
Dwight Goddard practices at 270 Goosepond Rd, Newark, OH 43055. The listed phone number is (220) 564-7960.
What is Dwight Goddard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dwight Goddard enrolled in Medicare?
Yes. Dwight Goddard 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 Dwight Goddard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dwight Goddard reassigns Medicare benefits to 2 organizations: Licking Memorial Professional Corporation (Newark, OH) and Ohiohealth Corporation (Columbus, OH). 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 Dwight Goddard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dwight Goddard accept?
Health plans from Antidote Health Plan of Ohio, Inc. and MedMutual list Dwight Goddard 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 Dwight Goddard affiliated with any hospitals?
According to CMS data, Dwight Goddard is affiliated with Licking Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Dwight Goddard was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Dwight Justin Goddard, MD · NPI 1407835572
Family Medicine physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since January 17, 2006.
## Identity
- **NPI:** 1407835572 (Entity type: Individual)
- **Enumerated:** January 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.137356 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 GOOSEPOND RD, Newark, OH 43055-3104
- **Phone:** (220) 564-7960 · **Fax:** (220) 564-7961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Licking Memorial Professional Corporation (NPI 1932186053, Newark, OH); Ohiohealth Corporation (NPI 1265627301, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** December 12, 2022
- **Other identifiers:** Other G63539 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407835572) · Data from the CMS NPPES public registry.