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BRIAN T GOTTESMAN M.D.
NPI 1306874615
Obstetrics & Gynecology in Manahawkin, NJ

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050(609) 978-9841(609) 978-9843 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian T Gottesman M.d. NPPES

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

BRIAN T GOTTESMAN M.D. (NPI 1306874615) is an individual obstetrics & gynecology provider in Manahawkin, New Jersey, licensed in New Jersey (25MA07385100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1995).

NPPES Registry Identity

NPI1306874615
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRIAN T GOTTESMANCredential: M.D.
Location Address1100 ROUTE 72 W, SUITE 305Manahawkin, NJ 08050-2468
Mailing Address1100 Route 72 W, Suite 305Manahawkin, NJ 08050-2468 · (609) 978-9841 · Fax (609) 978-9843
Phone(609) 978-9841
Fax(609) 978-9843
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1995
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 22, 2010
✔ NPI 1306874615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA07385100
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1100 ROUTE 72 W, Manahawkin, NJ 08050
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN086517YBRYNJ
Medicare UPING92569NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian T Gottesman M.d. 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 ID9436116670
PECOS Enrollment IDI20041220000300
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Gottesman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocean Health Initiatives,inc
7.9 mi
Federally Qualified Health Center (FQHC)
798 COUNTY ROAD 539
Little Egg Harbor, NJ 08087
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1235598616 (732) 363-6655
Hackensack Meridian Health Medical Group - Specialty Care PC
44 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
48 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 17

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

SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.
Internal Medicine (Hematology & Oncology)
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3359
MRS. DANIELLE BARRIOS PA-C
Physician Assistant
1100 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9639
PAVILION WOMENS HEALTH ASSOCIATES PA
Obstetrics & Gynecology
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841
QUN LIN I MD
Internal Medicine (Geriatric Medicine)
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3359
SOUTHERN OCEAN ORAL SURGERY & IMPLANT CENTER, INC.
Dentist (Oral and Maxillofacial Surgery)
1100 ROUTE 72 W, SUITE 202
MANAHAWKIN, NJ 08050
Ocean County (609) 978-1300
TODD LIU M.D.
Obstetrics & Gynecology
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841
SOUTHERN OCEAN PEDIATRIC ASSOCIATES, P.C.
Pediatrics
1100 ROUTE 72 W, SUITE 304
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9639
KATHLEEN M PORSCH CNM
Midwife
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841

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 Brian Gottesman's NPI number?

The NPI number for Brian Gottesman is 1306874615. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Brian Gottesman located?

Brian Gottesman practices at 1100 Route 72 W Suite 305, Manahawkin, NJ 08050. The listed phone number is (609) 978-9841.

What is Brian Gottesman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brian Gottesman enrolled in Medicare?

Yes. Brian Gottesman 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.

Which organizations bill Medicare for Brian Gottesman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Gottesman reassigns Medicare benefits to 2 organizations: Ocean Health Initiatives,inc (Little Egg Harbor, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Gottesman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Gottesman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Brian Gottesman 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 Brian Gottesman affiliated with any hospitals?

According to CMS data, Brian Gottesman is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Gottesman was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.