Active NPI 1275521635 Individual Practitioner Male Practitioner

Dr. Marc E Gottlieb , MD

Surgery - Plastic and Reconstructive Surgery • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Marc Gottlieb, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ. Practice services are available at 1012 E WILLETTA STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1012 E Willetta Street

Phoenix, AZ 85006

Telephone 6028396040

Fax 6028394375

Associated Practice Facility / Clinic

🏢 Brian F Mccrary Do Facility NPI 1760884415

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

23 Specialists

Practicing in Phoenix, AZ (69 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	27	$198.16	$55.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	25	$107.80	$34.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	14	$110.40	$34.72
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	32	16	$649.00	$171.25
15003 Preparation of graft site at trunk, arms, or legs	32	11	$135.00	$38.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$291.16	$84.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	41	$105.83	$35.54
99213 Established patient office or other outpatient visit, typically 15 minutes	50	31	$197.62	$66.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	13	$112.84	$37.64
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	23	13	$648.96	$218.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$400.18	$134.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	47	$77.00	$25.72
15003 Preparation of graft site at trunk, arms, or legs	63	15	$138.00	$45.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	18	$216.00	$52.18
99213 Established patient office or other outpatient visit, typically 15 minutes	35	21	$153.00	$51.26
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	30	18	$675.00	$225.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	32	$77.00	$25.10
99213 Established patient office or other outpatient visit, typically 15 minutes	70	37	$153.00	$49.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	17	$118.00	$38.72
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	28	18	$677.61	$217.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$218.00	$60.96
15734 Creation of muscle graft to trunk	17	11	$4004.00	$984.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
15003 Preparation of graft site at trunk, arms, or legs	110	21	$119.00	$44.15
99213 Established patient office or other outpatient visit, typically 15 minutes	62	42	$185.00	$47.95
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	54	28	$586.00	$212.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	12	$100.00	$37.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	27	$139.74	$24.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	13	$182.00	$69.31
15734 Creation of muscle graft to trunk	22	12	$3399.00	$1182.74
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	20	12	$2274.00	$653.43
49568 Placement of mesh to repair incisional or abdominal hernia	14	13	$696.00	$256.71
49565 Repair of incisional or abdominal hernia, recurrent of secondary, not trapped	13	12	$1991.00	$563.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	47	$139.35	$49.38
15003 Preparation of graft site at trunk, arms, or legs	50	11	$119.00	$45.67
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	34	19	$586.00	$226.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$218.74	$75.78
15734 Creation of muscle graft to trunk	16	11	$3399.00	$1067.12

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License AZ 20039

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

053025 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Karissa Mitchell , FNP

Nurse Practitioner - Family

NPI 1053095240

Family Nurse Practitioner

Laura Winkleblack , CRNP

Nurse Practitioner - Acute Care

NPI 1134446552

Certified Registered Nurse Practitioner

Natalie Wilkinson , NP

Nurse Practitioner

NPI 1457701732

Nurse Practitioner

Bridget Blansfield , FNP-C

Nurse Practitioner

NPI 1679250393

Family Nurse Practitioner (Certified)

Dr. Brian Mccrary , DO

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1972597490

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2016

Registered at 1012 E WILLETTA STREET, PHOENIX, AZ 85006 (Tel: 6028396040)

📍

Updated Business Mailing Address July 01, 2016

Registered at 1012 E WILLETTA STREET, PHOENIX, AZ 85006 (Tel: 6028396040)

👤

Provider Name / Credentials Updated July 01, 2016

Recorded as MARC GOTTLIEB, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2016

Surgery (License #20039 in AZ)

🟢

Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275521635

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 10, 2005

Last Update: July 01, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1012 E Willetta Street

Phoenix, AZ 85006

Phone: 6028396040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.