CHARLES A GOTTLOB (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1003878083
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
199 SPORTS MEDICINE in CO
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Provider Addresses for CHARLES A GOTTLOB (MD)
660, Golden Ridge Road, Golden, Jefferson County, Colorado, 80401, United States
SUITE 250
GOLDEN, CO 804019541
Phone: (303) 233-1223
Fax: (303) 233-8755
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,021.
Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Gemini Mountain Medical, LLC ($551).
Total Amount
$1,021
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,021
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gemini Mountain Medical, LLC | $551 |
| Arthrex, Inc. | $221 |
| Zimmer Biomet Holdings, Inc. | $175 |
| Vericel Corporation | $73 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101213000357 | I | Sports Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 131 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 137 | 37 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 133 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 77 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 55 | 55 | $0 |
Insurance plans in this area (ZIP 80401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| - | GA | |
| Physician Assistant | CO | |
| - | CO | |
| - | CO | |
| - | CO |
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