DR. MARK STEVEN GOTTLIEB (D.O.) – Family Medicine Physician, NPI 1174843643
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for DR. MARK STEVEN GOTTLIEB (D.O.)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (801) 316-9620
Fax: (801) 316-9626
Type: Mailing
1403 E SEGO LILY DR # 100B
SANDY, UT 840924350
Phone: (801) 316-9620
Fax: (801) 316-9626
Type: Location
409 SOUTH SECOND STREET
SUITE 2F
HARRISBURG, PA 171041612
Phone:
Type: Mailing
1786C COLUMBIA AVE
COLUMBIA, PA 175129508
Phone: (717) 684-3663
Fax: (717) 684-9030
Type: Location
2345 E PRATER WAY STE 207
SPARKS, NV 894349634
Phone: (702) 233-7950
Fax: (702) 233-7952
Type: Mailing
653 N TOWN CENTER DR STE 306
LAS VEGAS, NV 891440517
Phone: (702) 233-7950
Fax: (702) 233-7952
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-01-03 • Largest payer in this snapshot: Amgen Inc. ($35).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $35 |
| Optos, Inc. | $17 |
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: 2025-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210322001934 | I | Family Practice | NV | TBD |
| I20250224003294 | I | Family Practice | UT | 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 89133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| - | UT | |
| Family Practice | UT | |
| - | UT | |
| Nurse Practitioner | FL | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Family Practice | NV | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
Reviews
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