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GARRETT KENNETH GOTWAY MD, PHD
NPI 1811108426
Pediatrics in Dallas, TX

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-2564(214) 456-2567 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garrett Kenneth Gotway Md, Phd NPPES

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

GARRETT KENNETH GOTWAY MD, PHD (NPI 1811108426) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (N5691) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2007).

NPPES Registry Identity

NPI1811108426
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGARRETT KENNETH GOTWAYCredential: MD, PHD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-2564 · Fax (214) 456-2567
Phone(214) 456-2564
Fax(214) 456-2567
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2007
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 29, 2014
✔ NPI 1811108426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · N5691
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License N5691 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BLVD, Dallas, TX 75390
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Accepted Insurance

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

Garrett Kenneth Gotway Md, Phd 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 ID3870749633
PECOS Enrollment IDI20120809000625
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
DR. JYOTHSNA GATTINENI M.D.
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3438
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771

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 Garrett Gotway's NPI number?

The NPI number for Garrett Gotway is 1811108426. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Garrett Gotway located?

Garrett Gotway practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 456-2564.

What is Garrett Gotway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Garrett Gotway enrolled in Medicare?

Yes. Garrett Gotway 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 Garrett Gotway accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Garrett Gotway 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 Garrett Gotway was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.