Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARMEN E GOTA MD
NPI 1568427052
Internal Medicine - Rheumatology in St George, UT

Q: What is Carmen Gota's NPI number?

The NPI number for Carmen Gota is 1568427052. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Carmen Gota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Gota was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 April 19, 2006PECOS EnrolledAccepts Medicare Assignment

81.83/100

CMS Quality Rating

736 S 900 E STE 104, ST GEORGE, UT 84790(435) 292-6492(434) 355-3950 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2026, Feb 24, 2025, Dec 11, 2024 and 3 more (6 updates tracked since 2022).

On this page

About Carmen E Gota Md NPPES

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

CARMEN E GOTA MD (NPI 1568427052) is an individual rheumatology provider in St George, Utah, licensed in Utah (12719806-1205) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains a secondary practice location in St George.

NPPES Registry Identity

NPI1568427052

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameCARMEN E GOTACredential: MD

Location Address736 S 900 E STE 104St George, UT 84790-7001

Mailing AddressPo Box 790128Virgin, UT 84779-0128 · (435) 292-6492 · Fax (434) 355-3950

Phone(435) 292-6492

Fax(434) 355-3950

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateApril 19, 2006

Last NPPES UpdateSeptember 22, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1568427052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in UT · 12719806-1205✔ Licensed in OH · 35082592✔ Licensed in MN · 76241

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 12719806-1205 (UT)

736 S 900 E STE 104, St George, UT 84790

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Secondary Practice Location 1

Location 1577 S River RdSt George, UT 84790-2097 · Phone (435) 688-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Molina Healthcare and more.Insurance ›

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

Carmen E Gota 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 ID9537147434

PECOS Enrollment IDI20220330000564, I20260413000200

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 Reassignments

Medicare enrollment records show Carmen Gota reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Slimwell Health LLC

Same address

Primary Care

736 S 900 E STE 104
St George, UT 84790

Reassigned Medicare billing, Utah enrollment

NPI 1982405577 (435) 292-6492

Ihc Health Services Inc

0.4 mi

Family Medicine

2947 E 1450 S
St George, UT 84790

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1447066451 (435) 688-3400

Intermountain Medical Holdings Nevada Inc

108 mi

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

Reassigned Medicare billing, Nevada enrollment
521 clinicians in this Medicare group

NPI 1245997279 (702) 566-5500

Community Hospital Of Anaconda

618 mi

Family Medicine

401 S ALABAMA ST, SUITE 6A
Butte, MT 59701

Reassigned Medicare billing, Montana enrollment
Also billed through NPI 1538597703 (Montana)
81 clinicians in this Medicare group

NPI 1205239076 (406) 782-2329

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

Areas of Expertise CMS Part B claims 14

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

36,000 services47 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

1,325 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

496 services369 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

180 services47 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

57 services51 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

56 services50 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

56 services51 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

54 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services43 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

44 services31 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services15 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

17 services15 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St James Healthcare

Acute Care Hospitals · Butte, MT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270017

Location400 S Clark StButte, MT 59701 · Silver Bow County

Emergency services Birthing friendly

Community Hospital Of Anaconda

Critical Access Hospitals · Anaconda, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271335

Location401 W PennsylvaniaAnaconda, MT 59711 · Deer Lodge County

Emergency services Birthing friendly

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460007

Location1303 North Main StreetCedar City, UT 84721 · Iron County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Garfield Memorial Hospital

Critical Access Hospitals · Panguitch, UT

OwnershipVoluntary non-profit - Other

CMS Certification Number461333

Location200 North 400 EastPanguitch, UT 84759 · Garfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

81.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.07

Promoting Interoperability

100

Improvement Activities

Cost

58.38

Other Providers at the Same Location NPPES 4

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

IRIS YVONNE WRIGHT RN

Registered Nurse

736 S 900 E STE 104
ST GEORGE, UT 84790

Washington County (435) 574-7582

JUSTIN DAVID BRADER BC-HIS

Hearing Instrument Specialist

736 S 900 E STE 104
SAINT GEORGE, UT 84790

Washington County (435) 767-0240

CANYONS FAMILY WELLNESS, LLC

Nurse Practitioner (Family)

736 S 900 E STE 104
ST GEORGE, UT 84790

Washington County (435) 690-1035

SLIMWELL HEALTH LLC

Clinic/Center (Primary Care)

736 S 900 E STE 104
ST GEORGE, UT 84790

Washington County (435) 292-6492

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 Carmen Gota's NPI number?

The NPI number for Carmen Gota is 1568427052. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Carmen Gota located?

Carmen Gota practices at 736 S 900 E Ste 104, St George, UT 84790. The listed phone number is (435) 292-6492.

What is Carmen Gota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carmen Gota enrolled in Medicare?

Yes. Carmen Gota 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.

Which organizations bill Medicare for Carmen Gota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Gota reassigns Medicare benefits to 4 organizations: Slimwell Health LLC (St George, UT), Ihc Health Services Inc (St George, UT), Intermountain Medical Holdings Nevada Inc (Henderson, NV) and Community Hospital Of Anaconda (Butte, MT). Each 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 Carmen Gota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Gota accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Molina Healthcare, Mountain Health CO-OP and PacificSource Health Plans and 4 other insurers list Carmen Gota 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 Carmen Gota affiliated with any hospitals?

According to CMS data, Carmen Gota is affiliated with St James Healthcare, Community Hospital Of Anaconda, Cedar City Hospital, St. George Regional Hospital and Garfield Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Gota was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.