Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jerry L Goddard, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1295711240

Jerry L Goddard, MD is registered under Family Practice in Carbondale, Illinois. Graduated from Tulane University School of Medicine in 1970, 56 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
56
Trained at
Tulane University School of Medicine
Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W Jackson St Ste 200
Carbondale, IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-054846 (IL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 036-054846 (IL)

Record details

NPI number1295711240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1970 (56 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $99 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Board of Trustees of Southern Illinois University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 142 clinicians in the practice; 12 are shown here.

Other providers in Carbondale