JUSTIN L GOTTLIEB (MD) – Ophthalmology Physician, NPI 1164498697
Ophthalmology Physician
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Profile Insights
NPPES metrics only — not quality of care.
388 OPHTHALMOLOGY in WI
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Provider Addresses for JUSTIN L GOTTLIEB (MD)
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone: (608) 829-5485
Type: Mailing
2880, University Avenue, Rocky Bluff, Madison, Dane County, Wisconsin, 53705, United States
MADISON, WI 53705
Phone: (608) 263-7171
Fax: (608) 265-8060
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: 2010-06-05
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040228000486 | I | Ophthalmology | IL | TBD |
| I20100605000087 | I | Ophthalmology | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 1,446 | 595 | $0 |
| 67028 | Injection of drug into eye | 969 | 243 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 482 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 399 | 284 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 398 | 332 | $0 |
Insurance plans in this area (ZIP 53562)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | WI | 92134 | Diagnostic imaging of retina | 1595 | 627 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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