MICHAEL GOTTLIEB M.D.
NPI 1861713034
Obstetrics & Gynecology in Providence, RI

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1 RANDALL SQ, STE 205, PROVIDENCE, RI 02904(401) 331-6980(401) 331-8110 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Gottlieb M.d. NPPES

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

MICHAEL GOTTLIEB M.D. (NPI 1861713034) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD14698) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2010).

NPPES Registry Identity

NPI1861713034
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL GOTTLIEBCredential: M.D.
Location Address1 RANDALL SQ, STE 205Providence, RI 02904-2709
Mailing Address1 Randall Sq, Ste 205Providence, RI 02904-2709 · (401) 331-6980 · Fax (401) 331-8110
Fax(401) 331-8110
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
NPI 1861713034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in RI · MD14698 Licensed in CO · CDRH.0058420
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.
1 RANDALL SQ, Providence, RI 02904

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

Michael Gottlieb 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 ID1850518424
PECOS Enrollment IDI20200421001050
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 02904 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
1 RANDALL SQ
PROVIDENCE, RI 02904
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Allergy & Immunology
1 RANDALL SQ
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Clinic/Center (Federally Qualified Health Center (FQHC))
1 RANDALL SQ
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904

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 Gottlieb's NPI number?

The NPI number for Michael Gottlieb is 1861713034. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Michael Gottlieb located?

Michael Gottlieb practices at 1 Randall Sq Ste 205, Providence, RI 02904. The listed phone number is (401) 331-6980.

What is Michael Gottlieb's specialty?

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

Is Michael Gottlieb enrolled in Medicare?

Yes. Michael Gottlieb 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.

When was this NPI record last updated?

The NPPES record for Michael Gottlieb was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.