David H. Goltz, M.D.
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Larkspur, CA
NPI 1104879014 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1104879014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- G85091 (CA)
- Practice address
- 18 Bon Air Rd
Larkspur, CA 94939-1123 - Phone
- (415) 927-5300
- Fax
- (415) 927-6860
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- University of California, Geffen School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Regents Univ of California UCSF
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Sutter Care at Home
- Marinhealth Medical Center
- Novato Community Hospital
- Sonoma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.06 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 53.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080612000888 | CA | Practitioner - Sports Medicine |
6406927771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Regents Univ of California UCSF | Orthopaedic Surgery | Current |
Accepting new patients |
| California Orthopedics & Spine Inc | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300
5 Bon Air Rd
Ste 129
Larkspur, CA 94939
Phone (415) 924-8900
2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812
2 Bon Air Rd
Ste 120A
Larkspur, CA 94939
Phone (415) 496-2812
7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dgoltz223479@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G85091 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G85091 | CA | Yes |
Addresses
Primary practice location
18 Bon Air Rd
Larkspur, CA 94939-1123
Mailing address
18 Bon Air Rd
Larkspur, CA 94939-1123
Phone (415) 927-5300
Other providers in Larkspur, CA
- Kent N. Gershengorn
- Amy Gin
- Jonathan Goff
- Linda Lou Goldberg
- Golden Gate Hand Therapy of Marin
- Elizabeth Neal Gonzales
- Cynthia M Goodman
- James Leland Gorder
- John Michael Graham
- Diane Green
All providers in Larkspur, CA · Sports Medicine (Orthopaedic Surgery) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.