MR. JAMIE EDEN GOTTLIEB (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1811979842

MR. JAMIE EDEN GOTTLIEB (M.D.) is a healthcare provider. based in Mishawaka, Indiana. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 01059066A (IN). The NPI Number for MR. JAMIE EDEN GOTTLIEB (M.D.) is 1811979842

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMIE EDEN GOTTLIEB (M.D.)
NPI
1811979842
Phone
(574) 214-7504
Address
230 E Day Rd Ste 180
Enumeration Date
16 November 2005
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
4695281169
Graduation Year
1998 (28 years ago)
PAC ID
5597738476
Professional Enrollment ID
I20190808003468
Address ID
TX750382265IR6121X161X501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

668 ORTHOPEDIC SURGERY in IN

Provider Addresses for MR. JAMIE EDEN GOTTLIEB (M.D.)

  • 230 E Day Rd Ste 180

    Mishawaka, IN 465453463

    Phone: (574) 214-7504

    Type: Location

  • 1904 Lake Ave

    Plymouth, IN 465637828

    Phone: (574) 214-7504

    Fax: (574) 262-3214

    Type: Location

  • 5218 Beck Dr Ste 9&10

    Elkhart, IN 46516

    Phone: (574) 214-7504

    Fax: (574) 262-3214

    Type: Location

  • 220, North Ridgeway Drive, Cleburne, Johnson County, Texas, 76033, United States

    CLEBURNE, TX 760334115

    Phone: (817) 774-5008

    Fax: (817) 774-5034

    Type: Mailing

  • 2535, West Oak Street, Denton, Denton County, Texas, 76201, United States

    DENTON, TX 762012331

    Phone: (940) 382-1577

    Fax: (940) 387-5471

    Type: Location

  • 8528 DAVIS BLVD STE 134

    NORTH RICHLAND HILLS, TX 761828302

    Phone: (469) 528-1169

    Type: Mailing

  • 6121 HWY 161

    SUITE 225

    IRVING, TX 75038

    Phone: (469) 528-1169

    Fax: (877) 319-1790

    Type: Location

  • 2535 W Oak St

    Denton, TX 762012331

    Phone: (940) 382-1577

    Fax: (940) 387-5471

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $9,518.

Total Amount is formed as General ($9,518) + Research ($0) + Ownership ($0) = $9,518.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Nevro Corp. ($8,566).

Total Amount

$9,518

General + Research + Ownership

Payments

70

Total payment records

General Amount

$9,518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-08-08

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
I20190808003468IOrthopedic SurgeryTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10454$0
99441Telephone medical discussion with physician, 5-10 minutes6632$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99213Established patient office or other outpatient visit, 20-29 minutes1713$0
95972Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming1412$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Provider's Procedures

MR. JAMIE EDEN GOTTLIEB (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIN22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1717

Reviews

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Frequently asked questions

What is the standard ID for MR. JAMIE EDEN GOTTLIEB (M.D.) in the U.S.?
In the U.S., MR. JAMIE EDEN GOTTLIEB (M.D.) is identified by NPI 1811979842.
Is MR. JAMIE EDEN GOTTLIEB (M.D.)'s NPI status active today?
Active status means MR. JAMIE EDEN GOTTLIEB (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. JAMIE EDEN GOTTLIEB (M.D.)?
NPPES ties MR. JAMIE EDEN GOTTLIEB (M.D.) to Orthopaedic Surgery of the Spine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JAMIE EDEN GOTTLIEB (M.D.)?
MR. JAMIE EDEN GOTTLIEB (M.D.) is associated with Mishawaka, Indiana in the same public data insurers reference.
Why is information missing for MR. JAMIE EDEN GOTTLIEB (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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