JOSHUA GODDING
NPI 1982226072
Student in an Organized Health Care Education/Training Program in Duluth, MN

NPI Status: Active since May 12, 2020

Contact Information

330 N 8TH AVE E
DULUTH, MN
ZIP 55805
Phone: (218) 529-9122

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Durable Medical Equipment
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 6
Student in an Organized Health Care Educ...
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About JOSHUA GODDING

This page provides the complete NPI Profile along with additional information for Joshua Godding, a primary care provider established in Duluth, Minnesota with a medical specialization in Student In An Organized Health Care Education/training Program and more than 6 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1982226072 assigned on May 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI: 1982226072
Provider Name: JOSHUA GODDING
Gender: Male
Entity Type: Individual
Location Address: 330 N 8TH AVE E DULUTH, MN 55805
Location Phone: (218) 529-9122
Mailing Address: 330 N 8TH AVE E DULUTH, MN 55805
Mailing Phone: (218) 529-9122
Medical School Name: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year: 2020
Is Sole Proprietor?: Yes
Enumeration Date: 05-12-2020
Last Update Date: 05-12-2020
Code Navigator

A primary care provider (PCP) like Joshua Godding sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Code: 390200000X
Type: Student, Health Care
Taxonomy Description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

HealthPartners

Atlas $1,300 Gold - PPO
Atlas $2,000 Standard Gold - PPO
Atlas $3,050 Plus Silver - PPO
Atlas $3,800 HSA Silver - PPO
Atlas $6,000 Standard Silver - PPO
Atlas $6,800 Plus Bronze HSA - PPO
Atlas $7,500 Standard Bronze HSA - PPO
Atlas $8,400 HSA Bronze - PPO

Medica

Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Bronze HSA - EPO
Essentia Choice Care with Medica Bronze Share - EPO
Essentia Choice Care with Medica Bronze Share - HMO
Essentia Choice Care with Medica Expanded Bronze Standard - EPO
Essentia Choice Care with Medica Expanded Bronze Standard - HMO
Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Gold Share - EPO
Essentia Choice Care with Medica Gold Share - HMO
Essentia Choice Care with Medica Gold Standard - EPO
Essentia Choice Care with Medica Gold Standard - HMO
Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
Essentia Choice Care with Medica Silver Share - EPO
Essentia Choice Care with Medica Silver Share - HMO
Essentia Choice Care with Medica Silver Standard - EPO
Essentia Choice Care with Medica Silver Standard - HMO
Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze Share - HMO

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $10,600 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,500 - PPO
Sanford Individual Simplicity $7,200 HSA Qualified - PPO
Sanford Individual Simplicity Standardized $2,000 - PPO
Sanford Individual Simplicity Standardized $6,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Security Health Plan

Premier $2,000 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,000 - 50% - HMO
Premier $5,000 HDHP - HMO
Premier $6,000 - 40% - HMO
Premier $7,500 - HMO
Premier $7,500 HDHP - HMO
Select $2,000 - 25% - EPO
Select $3,500 - 30% - EPO
Select $4,000 - 50% - EPO
Select $5,000 HDHP - EPO
Select $6,000 - 40% - EPO
Select $7,500 - EPO
Select $7,500 HDHP - EPO
Select $9,500 - EPO
Select Protection - EPO
Premier HMO $1,500 - 30% - HMO
Premier HMO $2,500 - 20% Copay - HMO
Premier HMO $3,400 - 30% HDHP - HMO
Premier HMO $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Joshua Godding is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Joshua Godding is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 648692376
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20231031000266
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 11 Medicare Claims 11 Services Paid

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joshua Godding is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type
ESSENTIA HEALTH ST MARY'S MEDICAL CENTER	402 EAST SECOND STREET DULUTH, MN 55805	(218) 786-3574	Acute Care Hospitals
ESSENTIA HEALTH DULUTH	502 EAST SECOND STREET DULUTH, MN 55805	(218) 786-2652	Acute Care Hospitals
ST MARYS HOSPITAL SUPERIOR	3500 TOWER AVE SUPERIOR, WI 54880	(715) 817-7000	Critical Access Hospitals

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982226072, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 4 + 2 + 1 + 2 + 0 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1982226072.