FREDERICK L GOTTLIEB MD
NPI 1174532931
Internal Medicine - Geriatric Medicine in Salt Lake City, UT

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF UTAH, 50, SALT LAKE CITY, UT 84132(801) 581-2628 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick L Gottlieb Md NPPES

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

FREDERICK L GOTTLIEB MD (NPI 1174532931) is an individual geriatric medicine provider in Salt Lake City, Utah, licensed in Utah (177082-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1174532931
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameFREDERICK L GOTTLIEBCredential: MD
Location AddressUNIVERSITY OF UTAH, 50Salt Lake City, UT 84132-0100
Mailing AddressUniversity Of Utah Adult Services, Po Box 413033Salt Lake City, UT 84141-3033 · (801) 213-3900
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateAugust 7, 2006
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
NPI 1174532931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in UT · 177082-1205
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
UNIVERSITY OF UTAH, Salt Lake City, UT 84132

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

Frederick L Gottlieb 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 ID9335053263
PECOS Enrollment IDI20051026001229
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
298 services116 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
109 services44 patients
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.
75 services50 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,650 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,770 services$1.39 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
UNIVERSITY OF UTAH, 50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132
Psychologist
UNIVERSITY OF UTAH, 30 NORTH 1900 EAST, 1B620 SOM
SALT LAKE CITY, UT 84132
Internal Medicine (Interventional Cardiology)
UNIVERSITY OF UTAH
SALT LAKE CITY, UT 84132
Pharmacist
UNIVERSITY OF UTAH, DIVISION OF ID; 30 N 1900 E
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF UTAH
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF UTAH, 30 NORTH 1900 EAST 4A330
SALT LAKE CITY, UT 84132

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 Frederick Gottlieb's NPI number?

The NPI number for Frederick Gottlieb is 1174532931. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Frederick Gottlieb located?

Frederick Gottlieb practices at University Of Utah 50, Salt Lake City, UT 84132. The listed phone number is (801) 581-2628.

What is Frederick Gottlieb's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Frederick Gottlieb enrolled in Medicare?

Yes. Frederick Gottlieb 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 Frederick Gottlieb accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Frederick Gottlieb 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 Frederick Gottlieb affiliated with any hospitals?

According to CMS data, Frederick Gottlieb is affiliated with University Of Utah Hospitals And Clinics and Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Gottlieb was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.