DAN HENRY GOTTWALD MD
NPI 1104889732
Orthopaedic Surgery in Warren, PA
NPI Status: Active since April 06, 2006
Contact Information
103 W SAINT CLAIR ST
SUITE 1D
WARREN, PA
ZIP 16365
Phone: (814) 726-1921
Fax: (814) 726-7881
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About DAN GOTTWALD
This page provides the complete NPI Profile along with additional information for Dan Gottwald, a provider established in Warren, Pennsylvania with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1104889732 assigned on April 2006. The practitioner's primary taxonomy code is 207X00000X with license number MD043717L (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1104889732
- Provider Name
- DAN HENRY GOTTWALD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 103 W SAINT CLAIR ST SUITE 1D WARREN, PA 16365
- Location Phone
- (814) 726-1921
- Location Fax
- (814) 726-7881
- Mailing Address
- 103 W SAINT CLAIR ST SUITE 1D WARREN, PA 16365
- Mailing Phone
- (814) 726-1921
- Mailing Fax
- (814) 726-7881
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-06-2006
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD043717L
- License State
- PA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E71213 | MEDICARE UPIN (02) | PA | |
| 650121 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | MEDICARE |
| 0012371870001 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
Dan Gottwald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection, methylprednisolone acetate, 80 mg
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 375 times for 128 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 429 times for 148 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 242 times for 103 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 175 times for 77 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 800 times for 92 patientsTriamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
This service was performed 3,714 times for 49 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 16365 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 8 | 9 | 7 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 8 | 18 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 8 + 1 + 8 + 7 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1104889732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609870641 | MR. GARY LYNN MCAFOOS MD Individual | Surgery | 103 W SAINT CLAIR ST RM 2D WARREN, PA 16365 (814) 723-2770 |
| 1245212885 | DR. CHARLES E KELLER O.D. Individual | Optometrist | 103 W SAINT CLAIR ST WARREN, PA 16365 (814) 726-2020 |
| 1780647958 | VAN WARREN JOHNSON MD Individual | Orthopaedic Surgery | 103 W SAINT CLAIR ST SUITE 1D WARREN, PA 16365 (814) 726-1921 |
| 1609888643 | NICHOLE B HARRISON M.D. Individual | Internal Medicine | 103 W SAINT CLAIR ST INTERNAL MEDICINE, WARREN MEDICAL GROUP WARREN, PA 16365 (814) 726-0273 |
| 1578631057 | SENECA EYE SURGEONS, INC Organization | Ophthalmology | 103 W SAINT CLAIR ST WARREN, PA 16365 (814) 726-2020 |
| 1649320003 | WARREN SURGEONS, INC. Organization | Surgery | 103 W SAINT CLAIR ST SUITE 2D WARREN, PA 16365 (814) 723-2770 |
| 1407812167 | MR. LONNIE L HEETER CRNP Individual | Nurse Practitioner | 103 W SAINT CLAIR ST WARREN, PA 16365 (814) 723-1212 |
| 1700906583 | VAN W. JOHNSON MD PC Organization | Orthopaedic Surgery | 103 W SAINT CLAIR ST WARREN, PA 16365 (814) 726-1921 |
| 1538520390 | SENECA EYE CARE LLC Organization | Ophthalmology | 103 W SAINT CLAIR ST WARREN, PA 16365 (814) 726-2020 |
| 1902996903 | CHRISTOPHER JOHN PA-C Individual | Physician Assistant | 103 W SAINT CLAIR ST SUITE 1D WARREN, PA 16365 (814) 726-1921 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104889732, enumerated in the NPI registry as an "individual" on April 06, 2006
The provider is located at 103 W Saint Clair St Suite 1d Warren, Pa 16365 and the phone number is (814) 726-1921
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection, methylprednisolone acetate, 80 mg, Injection, triamcinolone acetonide, not otherwise specified, 10 mg and Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg.
This NPI record was last updated on April 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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