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DR. IRVING SASS GOTTFRIED MD
NPI 1326034158
Internal Medicine - Gastroenterology in Monroeville, PA

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
3824 NORTHERN PIKE, STE 830, MONROEVILLE, PA 15146(412) 457-0427(412) 457-0429 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2020, Jan 30, 2017, Jun 20, 2016 (3 updates tracked since 2016).

About Dr. Irving Sass Gottfried Md NPPES

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

DR. IRVING SASS GOTTFRIED MD (NPI 1326034158) is an individual gastroenterology provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD030329E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1326034158
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. IRVING SASS GOTTFRIEDCredential: MD
Location Address3824 NORTHERN PIKE, STE 830Monroeville, PA 15146-2141
Mailing Address3824 Northern Pike, Ste 700Monroeville, PA 15146-2184 · (412) 457-0060
Phone(412) 457-0427
Fax(412) 457-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 29, 20203 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1326034158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in PA · MD030329E✔ Licensed in IL · 036125223✔ Licensed in VA · 0101039536
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3824 NORTHERN PIKE, Monroeville, PA 15146
Open in Google Maps ↗

Other Identifiers 6

Medicaid6046258VA
Other042514VA · Anthem Bc/bs
Other253249Mamsi/tricare
Other53907VA · Sentara
Other1000013150VA · Medicare Railroad
Other4670798Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Irving Sass Gottfried 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 ID4688700511
PECOS Enrollment IDI20221020003366
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
170 services109 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
99 services97 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services94 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
96 services74 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
46 services46 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. PAUL C KLEIST MD
Internal Medicine (Interventional Cardiology)
3824 NORTHERN PIKE, STE 525
MONROEVILLE, PA 15146
Allegheny County (412) 380-2750
THOMAS J FRANCO MD
Radiology (Diagnostic Radiology)
3824 NORTHERN PIKE
MONROEVILLE, PA 15146
Allegheny County (412) 373-6342
DR. JAMES S COSTLOW MD
Internal Medicine
3824 NORTHERN PIKE, STE 200
MONROEVILLE, PA 15146
Allegheny County (412) 380-2800
ALLISON MARIE DAUGHERTY PA-C
Physician Assistant (Medical)
3824 NORTHERN PIKE, SUITE 525
MONROEVILLE, PA 15146
Allegheny County (412) 373-6666
DR. KATHY A KALP-LAXTON D.C.
Chiropractor
3824 NORTHERN PIKE, SUITE 1015
MONROEVILLE, PA 15146
Allegheny County (412) 372-7900
DR. BENJAMIN R SMOLAR M.D.
Psychiatry & Neurology (Neurology)
3824 NORTHERN PIKE, STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 856-5335
DR. AASHISH DUA MD
Internal Medicine (Interventional Cardiology)
3824 NORTHERN PIKE, STE 525
MONROEVILLE, PA 15146
Allegheny County (412) 380-2750
DR. LAXMI SHAH D.O
Psychiatry & Neurology (Clinical Neurophysiology)
3824 NORTHERN PIKE, STE 300
MONROEVILLE, PA 15146
Allegheny County (412) 856-5335

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 Irving Gottfried's NPI number?

The NPI number for Irving Gottfried is 1326034158. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Irving Gottfried located?

Irving Gottfried practices at 3824 Northern Pike Ste 830, Monroeville, PA 15146. The listed phone number is (412) 457-0427.

What is Irving Gottfried's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Irving Gottfried enrolled in Medicare?

Yes. Irving Gottfried 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 Irving Gottfried accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Irving Gottfried 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 Irving Gottfried affiliated with any hospitals?

According to CMS data, Irving Gottfried is affiliated with Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Irving Gottfried was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.