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DR. WILLIAM JIA GOTTLIEB MD
NPI 1396990719
Family Medicine in Boulder, CO

Active since November 26, 2008Opted out of Medicare · through Mar 15, 2028
331 MAXWELL AVE, BOULDER, CO 80304(303) 444-2425(303) 444-7995 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Jia Gottlieb Md NPPES

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

DR. WILLIAM JIA GOTTLIEB MD (NPI 1396990719) is an individual family medicine provider in Boulder, Colorado, licensed in Colorado (26361) and active in the NPI registry since November 2008. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396990719
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM JIA GOTTLIEBCredential: MD
Location Address331 MAXWELL AVEBoulder, CO 80304-3972
Mailing Address331 Maxwell AveBoulder, CO 80304-3972 · (303) 444-2425 · Fax (303) 444-7995
Phone(303) 444-2425
Fax(303) 444-7995
Sole ProprietorYes
Enumeration DateNovember 26, 2008
✔ NPI 1396990719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 26361
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

331 MAXWELL AVE, Boulder, CO 80304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William Jia Gottlieb Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2018 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2018
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80304 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

ANGELO ANTHONY CILIBERTI II MA, LPC, CGP
Counselor (Mental Health)
331 MAXWELL AVE
BOULDER, CO 80304
Boulder County (303) 949-5577

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 William Gottlieb's NPI number?

The NPI number for William Gottlieb is 1396990719. It was assigned to this individual provider in the NPPES registry on November 26, 2008.

Where is William Gottlieb located?

William Gottlieb practices at 331 Maxwell Ave, Boulder, CO 80304. The listed phone number is (303) 444-2425.

What is William Gottlieb's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Gottlieb enrolled in Medicare?

No. William Gottlieb has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Gottlieb was last updated on November 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.