MALCOLM D GOTTLICH (MD) – Orthopaedic Surgery Physician, NPI 1639158538
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
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Provider Addresses for MALCOLM D GOTTLICH (MD)
1075, Mason Avenue, Daytona Beach, Volusia County, Florida, 32117, United States
DAYTONA BEACH, FL 32117
Phone: (386) 255-4596
Fax: (386) 258-3561
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 18 Open Payments records for all available years, with a total value of $369.
Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Access Pro Medical, LLC ($85).
Total Amount
$369
General + Research + Ownership
Payments
18
Total payment records
General Amount
$369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-04-25
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 |
|---|---|---|---|---|
| I20170425002733 | I | Orthopedic Surgery | SC | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 439 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 376 | 189 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 171 | 61 | $0 |
| 73502 | X-ray of hip, 2-3 views | 149 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 72 | $0 |
Insurance plans in this area (ZIP 32117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 690 | 347 |
| ORTHOPEDIC SURGERY | FL | 27447 | Repair of knee joint | 36 | 34 |
| ORTHOPEDIC SURGERY | FL | 97001 | Physical therapy evaluation | 161 | 159 |
| ORTHOPEDIC SURGERY | FL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 171 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | SC | |
| Physician Assistant | SC | |
| General Surgery | NV | |
| General Surgery | MI | |
| General Surgery | SC | |
| General Surgery, Surgical Oncology | TX | |
| Orthopedic Surgery | SC | |
| - | MA | |
| Physician Assistant | SC | |
| General Surgery | SC |
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