Carmen Gota, MD
NPI 1568427052 · Rheumatology Physician · St. George, UT
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Gota, MD is a Rheumatology Physician provider in St. George, UT (NPI 1568427052).
Provider details
- NPI number
- 1568427052
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 76241 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,075 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 496 | $108 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 180 | $66 |
| Measurement C-Reactive Protein for Detection of Infection Or Inflammation86140 | 57 | $5 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 56 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 56 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 54 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 307 | 127 |
| Prednisone | 246 | 128 |
| Hydroxychloroquine Sulfate | 197 | 94 |
| Gabapentin | 125 | 62 |
| Alendronate Sodium | 125 | 59 |
| Leflunomide | 85 | 43 |
| Tramadol Hcl | 72 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31,719 across 47 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 577 S River RdSt George, UT 84790-2097Phone: (435) 688-6200
- 1490 E Foremaster Dr Ste 220St George, UT 84790-4498Phone: (435) 879-7610Fax: (435) 879-7292
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Frequently asked questions
- What is Carmen Gota's NPI number?
- Carmen Gota's National Provider Identifier (NPI) is 1568427052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Gota's specialty?
- Carmen Gota is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Carmen Gota located?
- Carmen Gota's practice location on file with NPPES is 1060 South Main Street, St. George, UT 84770-5260.
- What is Carmen Gota's phone number?
- The practice phone number listed in the NPPES registry for Carmen Gota is (435) 292-6492.
- Does Carmen Gota accept Medicare?
- Carmen Gota is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Gota's NPI active?
- Yes — Carmen Gota's NPI (1568427052) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.