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DR. MICHAEL BRIAN COTTER M.D.
NPI 1669492641
Obstetrics & Gynecology in Gainesville, FL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
6440 W NEWBERRY RD STE 508, GAINESVILLE, FL 32605(352) 371-2011(352) 384-3611 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, Mar 12, 2019, Dec 12, 2018 (3 updates tracked since 2018).

About Dr. Michael Brian Cotter M.d. NPPES

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

DR. MICHAEL BRIAN COTTER M.D. (NPI 1669492641) is an individual obstetrics & gynecology provider in Gainesville, Florida, licensed in Florida (ME0061235) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1990).

NPPES Registry Identity

NPI1669492641
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL BRIAN COTTERCredential: M.D.
Location Address6440 W NEWBERRY RD STE 508Gainesville, FL 32605-8303
Mailing Address6440 W Newberry Rd Ste 508Gainesville, FL 32605-8303 · (352) 371-2011 · Fax (352) 384-3611
Phone(352) 371-2011
Fax(352) 384-3611
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1990
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1669492641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME0061235✔ Licensed in FL · ME61235
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.

Also ListedSpecialistTaxonomy 174400000X · License ME0061235 (FL)
6440 W NEWBERRY RD STE 508, Gainesville, FL 32605
Open in Google Maps ↗

Other Identifiers 3

Medicaid375062100FL
Other102266FL · Avmed
Other25070FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Michael Brian Cotter M.d. 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 ID749288843
PECOS Enrollment IDI20061128000543
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

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.

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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
58%119 patients3/55-star benchmark: 93%
Cervical Cancer Screening
80%463 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
23%47 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
28%188 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
86%848 patients4/55-star benchmark: 100%
e-Prescribing
100%156 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%485 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%787 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 62% · 446 patients
Patients screened: 67% · 446 patients
50%44 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%365 patients4/55-star benchmark: 100%
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 13

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

DONNA BOUCHER M.D.
Obstetrics & Gynecology
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
ABIGAIL S LUNDBERG
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
ANDREA GRAY APRN, CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology (Gynecology)
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
CHRISTINA BENNETT WILEY CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
KADI NICOLE BORCHERS MSN, CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
SHALICIA SHEMWELL
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 792-6123
BREE RENEE MOSES APRN CNM
Advanced Practice Midwife
6440 W NEWBERRY RD STE 508
GAINESVILLE, FL 32605
Alachua County (352) 331-3332

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 Michael Cotter's NPI number?

The NPI number for Michael Cotter is 1669492641. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Michael Cotter located?

Michael Cotter practices at 6440 W Newberry Rd Ste 508, Gainesville, FL 32605. The listed phone number is (352) 371-2011.

What is Michael Cotter's specialty?

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

Is Michael Cotter enrolled in Medicare?

Yes. Michael Cotter 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 Michael Cotter accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Michael Cotter 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 Michael Cotter affiliated with any hospitals?

According to CMS data, Michael Cotter is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cotter was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.