LAWRENCE GOTTLIEB – Plastic and Reconstructive Surgery Physician, NPI 1790840528

LAWRENCE GOTTLIEB is a healthcare provider. based in Burr ridge, Illinois. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold a License No. 036068981 (IL). The NPI Number for LAWRENCE GOTTLIEB is 1790840528

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE GOTTLIEB
NPI
1790840528
Phone
(773) 834-4064
Address
180 HARVESTER DR STE 110
Enumeration Date
22 December 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7737023095
Graduation Year
1977 (49 years ago)
PAC ID
2567472376
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20060424000576
Address ID
IL606372654CH950XXSTXX401

Contacts

Secure Messaging
lgottliebmd22259@uchospital.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL

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Provider Addresses for LAWRENCE GOTTLIEB

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 834-4064

    Type: Location

  • 5841 S MARYLAND AVE # MC1099

    CHICAGO, IL 606371447

    Phone:

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Medtronic, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$39
View all Open Payments →|Open Payments Risk Radar →

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: 2006-04-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060424000576IPlastic And Reconstructive SurgeryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes13473$0
99202New patient office or other outpatient visit, 15-29 minutes2424$0
15734Creation of muscle graft to trunk2316$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How is LAWRENCE GOTTLIEB identified in CMS data?
CMS-hosted NPPES data lists LAWRENCE GOTTLIEB with NPI 1790840528.
Does CMS list LAWRENCE GOTTLIEB as active?
Yes — LAWRENCE GOTTLIEB is active in the NPI listing used on this page.
What is LAWRENCE GOTTLIEB best known for clinically?
Directory data describes LAWRENCE GOTTLIEB with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LAWRENCE GOTTLIEB on a map?
Expect Burr Ridge, Illinois as a primary anchor for LAWRENCE GOTTLIEB unless the record lists multiple sites.
Why does LAWRENCE GOTTLIEB have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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