MARK TODD GODENICK MD
NPI 1467405845
Family Medicine in Spartanburg, SC

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303(864) 560-6193(864) 560-1510 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2021, Feb 15, 2018, Mar 15, 2017 (3 updates tracked since 2017).

About Mark Todd Godenick Md NPPES

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

MARK TODD GODENICK MD (NPI 1467405845) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (14616) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Loma Linda University School Of Medicine (1982).

NPPES Registry Identity

NPI1467405845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK TODD GODENICKCredential: MD
Location Address853 N CHURCH ST, SUITE 510Spartanburg, SC 29303-3098
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-1510
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1982
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1467405845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 14616
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
853 N CHURCH ST, Spartanburg, SC 29303

Other Identifiers 6

OtherAA96196067SC · Medicare Pin
Other4455408SC · Aetna
OtherD6334SC · Medcost
OtherA723893365SC · Medicare Pin
MedicaidTL3829SC
OtherA723895019SC · Medicare Pin

Accepted 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

Mark Todd Godenick 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 ID4082513833
PECOS Enrollment IDI20031231000379
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 5

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 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.
112 services80 patients
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.
45 services38 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.
41 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

Nurse Practitioner (Family)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST
SPARTANBURG, SC 29303
Internal Medicine (Gastroenterology)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303
Pediatrics
853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303
Surgery (Surgical Critical Care)
853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303
Specialist
853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303

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 Godenick's NPI number?

The NPI number for Mark Godenick is 1467405845. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Mark Godenick located?

Mark Godenick practices at 853 N Church St Suite 510, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.

What is Mark Godenick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Godenick enrolled in Medicare?

Yes. Mark Godenick 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 Mark Godenick accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Mark Godenick 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 Mark Godenick affiliated with any hospitals?

According to CMS data, Mark Godenick is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Godenick was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.