DR. GARY STEPHEN GOTTESMAN (MD) – Clinical Genetics (M.D.) Physician, NPI 1447269444
Clinical Genetics (M.D.) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16 MEDICAL GENETICS AND GENOMICS in MO
Provider Addresses for DR. GARY STEPHEN GOTTESMAN (MD)
1 CHILDRENS PL
MSC 8515-87-1200
SAINT LOUIS, MO 631101002
Phone: (314) 454-6095
Fax: (314) 454-6051
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 454-6051
Fax: (314) 454-6225
Type: Mailing
Shriners Hospital for Children, 4400, Clayton Avenue, WashU, City of Saint Louis, Missouri, 63110, United States
RESEARCH CENTER
SAINT LOUIS, MO 631101624
Phone: (314) 872-8305
Fax: (314) 872-7844
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $9,942.
Total Amount is formed as General ($9,942) + Research ($0) + Ownership ($0) = $9,942.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Ultragenyx Pharmaceutical Inc. ($7,468).
Total Amount
$9,942
General + Research + Ownership
Payments
13
Total payment records
General Amount
$9,942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultragenyx Pharmaceutical Inc. | $7,468 |
| Kyowa Kirin, Inc. | $2,473 |
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: 2010-09-10
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 |
|---|---|---|---|---|
| I20100910000442 | I | Medical Genetics And Genomics | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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