Carmen E. Gota, MD
Rheumatology Physician · St George, UT
Carmen E. Gota, MD is a rheumatology physician with a practice address in St George, Utah, and NPI 1568427052, issued on Apr 19, 2006. Check the license (Utah 12719806-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Carmen E. Gota
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License numbers
- 12719806-1205 UT
76241 MN
35082592 OH
Self-reported in NPPES; status is on the state search - Practice location
- 1060 South Main Street, St George, UT 84770
- Phone
- (435) 292-6492
- Enumerated
- Apr 19, 2006
- Record last updated
- Feb 24, 2025
- Fax
- (434) 355-3950
- Medicare enrollment
- Enrolled (PECOS I20220330000564); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 65 in Utah → Look up another NPI →
Verify Carmen E. Gota in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12719806-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
15% more Medicare Part D claims than the average rheumatology physician in 2024
2,268 Medicare Part D claims for 591 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 114 claims were for opioids.
Most prescribed
- Methotrexate307 claims
- Prednisone246 claims
- Hydroxychloroquine Sulfate197 claims
- Alendronate Sodium125 claims
- Gabapentin125 claims
- Leflunomide85 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 81.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $31,718.85
47 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
2 hospitals and group practices
- Community Hospital OF AnacondaAnaconda, MT · Critical Access Hospitals5 of 5 stars
- Ihc Health Services IncSt George, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Carmen E. Gota among 65 rheumatology physician records in Utah
Carmen E. Gota, MD is one of 65 rheumatology physician records with a practice address in Utah. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 60% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1989 · median 2010 among the 41 with a school on file
- Record last updated2025 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Utah
There are 65 rheumatology physician records in Utah.
All 65 in Utah → Every provider in St George → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Jameson PetersenSt George, UT 847701104289123
- Michael Grant, MDSt George, UT 847901154851467
- Matthew Hubbard, D.O.St George, UT 847901528401015
- Paul Jensen, M.D.St George, UT 847901851617898
- Jeffrey Mathews, MDSt George, UT 847901518968015
- Raymond McPeek, M.D.Ivins, UT 847381760576367
- Matthew Call, D.O.Springville, UT 846631083904619
- Richard Call, MDProvo, UT 846041982692182
Common questions
What is Carmen E. Gota, MD's NPI number?
Carmen E. Gota, MD's National Provider Identifier (NPI) is 1568427052, issued on Apr 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carmen E. Gota, MD located?
The NPPES record lists a practice address at 1060 South Main Street, St George, UT, 84770. Phone: (435) 292-6492. Providers update this record themselves, so call before visiting.
How can I verify Carmen E. Gota, MD's license?
NPPES lists Utah license number 12719806-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carmen E. Gota, MD prescribe under Medicare Part D?
In 2024, Carmen E. Gota, MD had 2,268 Medicare Part D claims for 591 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Carmen E. Gota, MD's MIPS final score?
The 2023 MIPS final score is 81.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.