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DR. DOUGLAS GOTTSCHALK
NPI 1598724619
Otolaryngology - Pediatric Otolaryngology in Fort Myers, FL

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment
16230 SUMMERLIN RD, SUITE 215, FORT MYERS, FL 33908(239) 343-6050 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Dec 14, 2016, Dec 29, 2015 (3 updates tracked since 2015).

About Dr. Douglas Gottschalk NPPES

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

DR. DOUGLAS GOTTSCHALK (NPI 1598724619) is an individual pediatric otolaryngology provider in Fort Myers, Florida, licensed in Florida (OS11438) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Batesville, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1598724619
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. DOUGLAS GOTTSCHALK
Location Address16230 SUMMERLIN RD, SUITE 215Fort Myers, FL 33908-5768
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1400 · Fax (239) 424-1421
Phone(239) 343-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 18, 2006
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1598724619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses✔ Licensed in FL · OS11438✔ Licensed in AR · E-4158✔ Licensed in TX · M8003
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
16230 SUMMERLIN RD, Fort Myers, FL 33908
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Secondary Practice Location 1

Location 1501 Virginia Dr Ste BBatesville, AR 72501-7317 · Phone (870) 698-1846 · Fax (870) 262-1231

Other Identifiers 2

Medicaid005834300FL
Medicaid209200902TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Dr. Douglas Gottschalk 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 ID4688640972
PECOS Enrollment IDI20040908000810
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

4

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

St Bernards Physician Clinics Inc
826 mi
Surgery
1005 E MATTHEWS AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 251 clinicians in this Medicare group
NPI 1447923438 (870) 935-1242
White River Health System, Inc.
859 mi
Urology
501 VIRGINIA DR STE A
Batesville, AR 72501
  • Reassigned Medicare billing, Arkansas enrollment
  • 18 clinicians in this Medicare group
NPI 1881489789 (870) 698-1846
Mercy Clinic Springfield Communities
915 mi
Rural Health
9138 O'BANION ST
Birch Tree, MO 65438
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
NPI 1811065477 (573) 292-3213
Mercy Health Northwest Arkansas Communities
981 mi
Family Medicine
1110 W ROBINSON AVE
Springdale, AR 72764
  • Reassigned Medicare billing, Arkansas enrollment
  • 472 clinicians in this Medicare group
NPI 1407266760 (479) 751-8440

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

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%57 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%231 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%231 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%231 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%231 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. GERARD JOSEPH FITZPATRICK M.D.
Family Medicine
16230 SUMMERLIN RD, SUITE 213-218
FORT MYERS, FL 33908
Lee County (239) 334-3745
AMY B. STANFILL M.D.
Surgery (Pediatric Surgery)
16230 SUMMERLIN RD, STE 215
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. ROBERT KEITH MINKES M.D.
Surgery (Pediatric Surgery)
16230 SUMMERLIN RD, STE 215
FORT MYERS, FL 33908
Lee County (239) 343-6050
HEATHER MASSE APRN
Nurse Practitioner (Family)
16230 SUMMERLIN RD, SUITE 215
FORT MYERS, FL 33908
Lee County (239) 343-6050

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 Douglas Gottschalk's NPI number?

The NPI number for Douglas Gottschalk is 1598724619. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Douglas Gottschalk located?

Douglas Gottschalk practices at 16230 Summerlin Rd Suite 215, Fort Myers, FL 33908. The listed phone number is (239) 343-6050.

What is Douglas Gottschalk's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Douglas Gottschalk enrolled in Medicare?

Yes. Douglas Gottschalk 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 Douglas Gottschalk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Gottschalk reassigns Medicare benefits to 4 organizations: St Bernards Physician Clinics Inc (Jonesboro, AR), White River Health System, Inc. (Batesville, AR), Mercy Clinic Springfield Communities (Birch Tree, MO) and Mercy Health Northwest Arkansas Communities (Springdale, AR). 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 Douglas Gottschalk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Gottschalk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Douglas Gottschalk 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 Douglas Gottschalk was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.