DR. LORIE D GOTTWALD (M.D.) – Dermatology Physician, NPI 1720072275

DR. LORIE D GOTTWALD (M.D.) is a healthcare provider. based in Toledo, Ohio. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35070505 (OH). The NPI Number for DR. LORIE D GOTTWALD (M.D.) is 1720072275

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORIE D GOTTWALD (M.D.)
NPI
1720072275
Phone
(419) 383-3780
Address
3355 GLENDALE AVE FL 3
Enumeration Date
9 September 2005
Last Update Date
28 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4193835614
Graduation Year
1990 (36 years ago)
PAC ID
6406743111
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20040227000955
Address ID
OH436142426TO3355XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

Provider Addresses for DR. LORIE D GOTTWALD (M.D.)

  • Glendale Avenue, Heather Downs, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142426

    Phone: (419) 383-3780

    Fax: (419) 383-2956

    Type: Mailing

  • 3120 Glendale Ave

    Toledo

    Toledo, OH 436145811

    Phone: (419) 383-3781

    Fax: (419) 383-0354

    Type: Location

  • Transverse Drive, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436148008

    Phone: (419) 383-3780

    Fax: (419) 383-2956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 283 Open Payments records for all available years, with a total value of $144,043.

Total Amount is formed as General ($144,043) + Research ($0) + Ownership ($0) = $144,043.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($50,431).

Total Amount

$144,043

General + Research + Ownership

Payments

283

Total payment records

General Amount

$144,043

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: 2004-02-27

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
I20040227000955IDermatologyOHTBD

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 minutes243182$0
99213Established patient office or other outpatient visit, 20-29 minutes237181$0
17003Destruction of precancer skin growth, 2-14 growths22953$0
17000Destruction of precancer skin growth, 1 growth10576$0
17110Destruction of skin growth, 1-14 growths4640$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

What identifier follows DR. LORIE D GOTTWALD (M.D.) across health systems?
The NPI 1720072275 uniquely identifies DR. LORIE D GOTTWALD (M.D.) in U.S. healthcare data.
Does the public listing show DR. LORIE D GOTTWALD (M.D.) as active?
DR. LORIE D GOTTWALD (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. LORIE D GOTTWALD (M.D.) does?
Insurance directories may phrase it differently, but here DR. LORIE D GOTTWALD (M.D.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LORIE D GOTTWALD (M.D.)?
DR. LORIE D GOTTWALD (M.D.) is associated with Toledo, Ohio in the same public data insurers reference.
Can I export DR. LORIE D GOTTWALD (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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