MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1609987213

MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) is a healthcare provider. based in Brick, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 25MP00179400 (NJ). The NPI Number for MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) is 1609987213

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT)
NPI
1609987213
Phone
(732) 840-3380
Address
425 Jack Martin Blvd
Enumeration Date
31 August 2006
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
1999 (27 years ago)
PAC ID
3375557150
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20201118001662
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT)

  • 425 Jack Martin Blvd

    Brick, NJ 087247732

    Phone: (732) 840-3380

    Type: Location

  • Ocean Medical Center, 425, Jack Martin Boulevard, Laurelton Gardens, Brick Township, Ocean County, New Jersey, 08724, United States

    BRICK, NJ 087247732

    Phone: (732) 840-3380

    Type: Location

  • 6, Elm Place, Red Bank, Monmouth County, New Jersey, 07701, United States

    RED BANK, NJ 077011917

    Phone: (732) 383-8210

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-2417

    Fax: (970) 652-2927

    Type: Mailing

  • 1035 GARDEN OF THE GODS RD STE 120

    COLORADO SPRINGS, CO 809073416

    Phone: (719) 365-3200

    Fax: (719) 365-7680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-18

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
I20201118001662IPhysician AssistantCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5958$0
99214Established patient office or other outpatient visit, 30-39 minutes3232$0
81003Automated urinalysis test2424$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected1313$0
View full utilization report →

Insurance plans in this area (ZIP 08724)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

How is MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) identified in CMS data?
CMS-hosted NPPES data lists MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) with NPI 1609987213.
Does the file indicate MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) is practicing under active NPI?
Directory data currently reports MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) as active.
What is MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT)'s specialty?
The listing groups MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT)?
MR. MICHAEL JAY GOTTUS (PHYSICIAN ASSISTANT)'s geographic hint is Brick, New Jersey in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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