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DR. ROBERTO GOUTHMAN JR. DO
NPI 1437688702
Psychiatry & Neurology - Psychiatry in Clermont, FL

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
297 E HWY 50 STE 1, CLERMONT, FL 34711(786) 843-5463(830) 402-4521 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jul 21, 2022, Jan 4, 2022 and 4 more (7 updates tracked since 2017).

About Dr. Roberto Gouthman Jr. Do NPPES

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

DR. ROBERTO GOUTHMAN JR. DO (NPI 1437688702) is an individual psychiatry provider in Clermont, Florida, licensed in Florida (OS16880) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1437688702
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERTO GOUTHMAN JR.Credential: DO
Location Address297 E HWY 50 STE 1Clermont, FL 34711-2500
Mailing Address297 E Hwy 50 Ste 1Clermont, FL 34711-2500 · (786) 843-5463 · Fax (830) 402-4521
Phone(786) 843-5463
Fax(830) 402-4521
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateJanuary 30, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1437688702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · OS16880✔ Licensed in CO · TL0006538
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
297 E HWY 50 STE 1, Clermont, FL 34711
Open in Google Maps ↗

Secondary Practice Locations 4

Location 111059 E Bethany DrAurora, CO 80014-2622 · Phone (303) 617-2300
Location 210101 Ridgegate PkwyLone Tree, CO 80124-5522 · Phone (305) 815-0921
Location 3725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242 · Fax (863) 494-0466
Location 4730 Potomac St Ste 218Aurora, CO 80011-6706 · Phone (720) 282-8015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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. Roberto Gouthman Jr. Do 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 ID8022419449
PECOS Enrollment IDI20210623001143
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
29 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services17 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.01
Promoting Interoperability100
Improvement Activities40
Cost66.14

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 Roberto Gouthman's NPI number?

The NPI number for Roberto Gouthman is 1437688702. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Roberto Gouthman located?

Roberto Gouthman practices at 297 E Hwy 50 Ste 1, Clermont, FL 34711. The listed phone number is (786) 843-5463.

What is Roberto Gouthman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Roberto Gouthman enrolled in Medicare?

Yes. Roberto Gouthman 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 Roberto Gouthman accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Roberto Gouthman 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.

When was this NPI record last updated?

The NPPES record for Roberto Gouthman was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.