KENNETH A GODWIN D.O.
NPI 1760633150
Surgery - Plastic and Reconstructive Surgery in Yardley, PA

Active since October 04, 2008PECOS EnrolledAccepts Medicare Assignment
301 OXFORD VALLEY RD, SUITE 903, YARDLEY, PA 19067(267) 399-9930(267) 399-9931 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth A Godwin D.o. NPPES

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

KENNETH A GODWIN D.O. (NPI 1760633150) is an individual plastic and reconstructive surgery provider in Yardley, Pennsylvania, licensed in Pennsylvania (OS013816) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1760633150
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameKENNETH A GODWINCredential: D.O.
Location Address301 OXFORD VALLEY RD, SUITE 903Yardley, PA 19067-7706
Mailing Address301 Oxford Valley Rd, Suite 903Yardley, PA 19067-7706 · (267) 399-9930 · Fax (267) 399-9931
Fax(267) 399-9931
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2004
Enumeration DateOctober 4, 2008
Last NPPES UpdateJune 23, 2021
NPPES CertifiedJune 23, 2021
NPI 1760633150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in PA · OS013816
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License OS013816 (PA)
301 OXFORD VALLEY RD, Yardley, PA 19067

Other Names 1

Professional Name (2)Dr. Kenneth A Godwin D.o.

Other Identifiers 5

Other3843645000PA · Keystone Ibc
Other30099393PA · Keystone Mercy
Other2632143PA · Highmark Blue Shield
OtherP00946063PA · Railroad Medicare
Medicaid1026075430001PA

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

Kenneth A Godwin D.o. 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 ID2769650761
PECOS Enrollment IDI20110719000045
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

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 (Cardiovascular Disease)
301 OXFORD VALLEY RD, SUITE 901
YARDLEY, PA 19067
Acupuncturist
301 OXFORD VALLEY RD, SUITE #1405
YARDLEY, PA 19067
Pediatrics
301 OXFORD VALLEY RD, #202A
YARDLEY, PA 19067
Internal Medicine (Gastroenterology)
301 OXFORD VALLEY RD, SUITE 701
YARDLEY, PA 19067
Dentist (General Practice)
301 OXFORD VALLEY RD, SUITE 704A
YARDLEY, PA 19067
Podiatrist (Primary Podiatric Medicine)
301 OXFORD VALLEY RD, SUITE 904 A & B
YARDLEY, PA 19067
Internal Medicine
301 OXFORD VALLEY RD, SUITE 305-B MAKEFIELD EXECUTIVE QUARTERS
YARDLEY, PA 19067
Social Worker (Clinical)
301 OXFORD VALLEY RD, SUITE 301B
YARDLEY, PA 19067

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 Kenneth Godwin's NPI number?

The NPI number for Kenneth Godwin is 1760633150. It was assigned to this individual provider in the NPPES registry on October 4, 2008. The provider is also known as Dr. Kenneth A Godwin D.O..

Where is Kenneth Godwin located?

Kenneth Godwin practices at 301 Oxford Valley Rd Suite 903, Yardley, PA 19067. The listed phone number is (267) 399-9930.

What is Kenneth Godwin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kenneth Godwin enrolled in Medicare?

Yes. Kenneth Godwin 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 Kenneth Godwin was last updated on June 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.