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DR. DANIEL GREGORY GOTTLIEB M.D.
NPI 1417118100
Family Medicine in Port Orange, FL

Active since June 24, 2008PECOS Enrolled
790 DUNLAWTON AVE STE E, PORT ORANGE, FL 32127(386) 760-1877 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 24, 2020, Jan 22, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Daniel Gregory Gottlieb M.d. NPPES

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

DR. DANIEL GREGORY GOTTLIEB M.D. (NPI 1417118100) is an individual family medicine provider in Port Orange, Florida, licensed in Florida (ME109340) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Smyrna Beach.

NPPES Registry Identity

NPI1417118100
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL GREGORY GOTTLIEBCredential: M.D.
Location Address790 DUNLAWTON AVE STE EPort Orange, FL 32127-4222
Mailing AddressPo Box 9671Daytona Beach, FL 32120-9671 · (386) 676-7130 · Fax (386) 676-7125
Phone(386) 760-1877
Sole ProprietorNo
Enumeration DateJune 24, 2008
Last NPPES UpdateAugust 24, 20203 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1417118100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME109340
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.
790 DUNLAWTON AVE STE E, Port Orange, FL 32127
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Secondary Practice Location 1

Location 11914 State Road 44New Smyrna Beach, FL 32168-8345 · Phone (404) 316-0185

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Gregory Gottlieb M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Daniel Gottlieb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Health Care Plan, Inc
7.3 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

JENNIFER S BROYLES MD
Family Medicine
790 DUNLAWTON AVE STE E
PORT ORANGE, FL 32127
Volusia County (386) 760-1877
TARA GONZALEZ M.D.
Family Medicine
790 DUNLAWTON AVE STE E
PORT ORANGE, FL 32127
Volusia County (386) 760-1877

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 Daniel Gottlieb's NPI number?

The NPI number for Daniel Gottlieb is 1417118100. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Daniel Gottlieb located?

Daniel Gottlieb practices at 790 Dunlawton Ave Ste E, Port Orange, FL 32127. The listed phone number is (386) 760-1877.

What is Daniel Gottlieb's specialty?

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

Is Daniel Gottlieb enrolled in Medicare?

Yes. Daniel Gottlieb is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Gottlieb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Gottlieb reassigns Medicare benefits to Florida Health Care Plan, Inc (Daytona Beach, FL). The 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 Daniel Gottlieb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Gottlieb was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.