KRISTIN FADEL GOTIMER D.O.
NPI 1417392291
Obstetrics & Gynecology in Sacramento, CA

Q: What is Kristin Gotimer's NPI number?

The NPI number for Kristin Gotimer is 1417392291. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Kristin Gotimer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Gotimer was last updated on November 22, 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.

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment

4860 Y ST STE 2500, SACRAMENTO, CA 95817(916) 734-6938(916) 734-6047 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2021, Jan 28, 2019, May 11, 2017 (3 updates tracked since 2017).

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About Kristin Fadel Gotimer D.o. NPPES

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

KRISTIN FADEL GOTIMER D.O. (NPI 1417392291) is an individual obstetrics & gynecology provider in Sacramento, California, licensed in California (15307) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1417392291

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKRISTIN FADEL GOTIMERCredential: D.O.

Location Address4860 Y ST STE 2500Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 2500Sacramento, CA 95817-2307 · (916) 734-6938 · Fax (916) 734-6047

Phone(916) 734-6938

Fax(916) 734-6047

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013

Enumeration DateMay 7, 2013

Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration

✔ NPI 1417392291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · 15307

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.

4860 Y ST STE 2500, Sacramento, CA 95817

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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

Kristin Fadel Gotimer D.o. 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 ID7810316288

PECOS Enrollment IDI20201005000635

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 Kristin Gotimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

254 mi

Health Maintenance Organization

9100 ROSEDALE HWY
Bakersfield, CA 93312

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1316572753 (877) 608-0044

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 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

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. MARYAM ALI MD

Student in an Organized Health Care Education/Training Program