Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518539907 Individual Practitioner Male Practitioner

Michael Charles Goddeyne , PA-C

Physician Assistant • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Goddeyne, PA-C is a certified Physician Assistant practicing in Milwaukee, WI. With approximately 5 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2021, Michael Goddeyne delivers high-quality medical care to the local community at 2900 W OKLAHOMA AVE.

Michael Goddeyne is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using vein or artery graft, 2 grafts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2900 W Oklahoma Ave

Milwaukee, WI 532154330

Telephone 4144894190
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukee, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
824 Specialists

Practicing in Milwaukee, WI (3517 Statewide)

Telehealth Adoption Rate
11.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
99.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goddeyne (5 Years) 5 Yrs
Milwaukee Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
22 22 $23160.00 $188.01
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
20 20 $195.00 $1.77
33518 Coronary artery bypass using vein or artery graft, 2 grafts
13 13 $4500.00 $43.58

Medical Specialties & State Licenses

CMS Verified: 2024-08-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 5489

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WI 5489-23

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100177796 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

2900 W Oklahoma Ave, Milwaukee, WI 532154330

Phone: 4146465410

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Aurora Medical Group, Inc.

975 Port Washington Rd, Grafton, WI 530249204

Phone: 2623298650

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1073513974

Doctor of Medicine (M.D.)

NPI 1184112963

Doctor of Medicine (M.D.)

NPI 1245318765

Doctor of Medicine (M.D.)

Dr. Sacha Ramirez , MD

Family Medicine

NPI 1316025844

Doctor of Medicine (M.D.)

Dr. Ami Prag , MD

Family Medicine

NPI 1386722817

Doctor of Medicine (M.D.)

NPI 1437655438

Advanced Practice Nurse Prescriber, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address August 12, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2021

Physician Assistant (License #5489-23 in WI)

📍
Updated Practice Location September 02, 2021

Registered at 2900 W OKLAHOMA AVE, MILWAUKEE, WI 532154330 (Tel: 4144894190)

📍
Updated Business Mailing Address September 02, 2021

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146496000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2021

Physician Assistant (License #5489 in WI)

NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2021

Registered at 2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 532153660 (Tel: 4146493780)

📍
Updated Business Mailing Address July 14, 2021

Registered at 2929 CURRY PKWY APT 17, MADISON, WI 537132880 (Tel: 9208515099)

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as MICHAEL GODDEYNE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Physician Assistant (License #5489-23 in WI)

🟢
Initial NPI Registration & Enumeration July 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Goddeyne. Be the first to share your experience!

Sign in to leave a review for Michael Goddeyne

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518539907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: August 12, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.