DR. JAY STUART GOTTLIEB (DO) – Dermatology Physician, NPI 1588660757
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for DR. JAY STUART GOTTLIEB (DO)
1951, Southwest 172nd Avenue, Miramar, Broward County, Florida, 33029, United States
STE 416
MIRAMAR, FL 330295615
Phone:
Type: Mailing
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone: (866) 400-3376
Fax: (407) 650-3455
Type: Mailing
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 330271778
Phone: (866) 400-3376
Fax: (954) 217-3222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,773.
Total Amount is formed as General ($1,773) + Research ($0) + Ownership ($0) = $1,773.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($435).
Total Amount
$1,773
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $435 |
| Regeneron Healthcare Solutions, Inc. | $319 |
| GENZYME CORPORATION | $252 |
| ABBVIE INC. | $201 |
| Novartis Pharmaceuticals Corporation | $79 |
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: 2014-04-16
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 |
|---|---|---|---|---|
| I20140416002071 | I | Dermatology | FL | 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 | 109 | 81 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 86 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 37 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 43 | 37 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 37 | 33 | $0 |
Insurance plans in this area (ZIP 33029)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 126 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| D E R M A T O L O G Y | MI |
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