DR. GAUTAM MALHOTRA MD
NPI 1811298045
Orthopaedic Surgery - Hand Surgery in Laguna Woods, CA

Active since November 04, 2010PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
24331 EL TORO RD STE 200, LAGUNA WOODS, CA 92637(949) 484-4718 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Mar 6, 2025, Apr 1, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Gautam Malhotra Md NPPES

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

DR. GAUTAM MALHOTRA MD (NPI 1811298045) is an individual hand surgery provider in Laguna Woods, California, licensed in California (C198490) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811298045
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. GAUTAM MALHOTRACredential: MD
Location Address24331 EL TORO RD STE 200Laguna Woods, CA 92637-3116
Mailing Address24331 El Toro RdLaguna Woods, CA 92637-2752 · (949) 586-3200
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2010
Enumeration DateNovember 4, 2010
Last NPPES UpdateDecember 1, 20255 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1811298045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in CA · C198490
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License C198490 (CA)
24331 EL TORO RD STE 200, Laguna Woods, CA 92637

Secondary Practice Locations 2

Location 1920 Milwaukee AveLincolnshire, IL 60069 · Phone (847) 383-2200 ext. 1336 · Fax (847) 998-8824
Location 29650 Gross Point Rd Ste 2900Skokie, IL 60076 · Phone (847) 866-7846 · Fax (224) 251-2905

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. Gautam Malhotra 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 ID2961705926
PECOS Enrollment IDI20250515002095
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 7

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.
148 services113 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
113 services113 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
50 services34 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.
42 services42 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.
39 services36 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.
35 services24 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92637 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers16 claims21 services$50.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery (Hand Surgery)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery (Foot and Ankle Surgery)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery (Hand Surgery)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Radiologic Technologist (Magnetic Resonance Imaging)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637
Orthopaedic Surgery (Hand Surgery)
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637

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 Gautam Malhotra's NPI number?

The NPI number for Gautam Malhotra is 1811298045. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Gautam Malhotra located?

Gautam Malhotra practices at 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637. The listed phone number is (949) 484-4718.

What is Gautam Malhotra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Gautam Malhotra enrolled in Medicare?

Yes. Gautam Malhotra 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.

Is Gautam Malhotra affiliated with any hospitals?

According to CMS data, Gautam Malhotra is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Gautam Malhotra was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.