Mary Kathryn Gustafson, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS20988 Issued in FL

Practice address

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969

Phone

(561) 737-7733

NPI assigned

Mar 26, 2019

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

Lake Erie College of Osteopathic Medicine, Erie, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Active Home Health Care Services, LLC Home health agency, West Palm Beach, FL, CCN 109337
• Ready Care Home Health Home health agency, Boca Raton, FL, CCN 108146
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
• Bethesda Memorial Hospital Inpatient rehabilitation facility, Boynton Beach, FL, CCN 10T002

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as apm

Quality

81.94

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.95 of 100Reported as group

Quality

69.91

Promoting interoperability

99

Improvement activities

40

Cost

77.42

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.gustafson.1@26289.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bocacare Inc

  dba Baptist Health Medical Group North

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1104058940

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• MCV Associated Physicians

  dba MCV Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Multi-Specialty

  Medicare reassignment NPD
• Bocacare Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1225845787

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Active Home Health Care Services,LLC

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1558541144
  Care Compare affiliation
• Bethesda Hospital Inc.

  dba Cornell Institute for Rehabilitative Medicine

  • Rehabilitation Hospital
  • Boynton Beach, FL
  • NPI 1023093234

  Inpatient rehabilitation facility

  Care Compare affiliation
• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Boca Home Care Inc

  dba Ready Care Home Health

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1376535625
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1255892998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-737-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102208132",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfstream Pediatric Dentistry and Orthodontics LLC
• Gulfstream Pharma RX LLC (Gulfstream Pharmacy)
• Gulfstream Pharmacy, Inc.
• Gulfstream Recovery Solutions, Inc
• Gail Florine Gurman, MSW LCSW
• Gustavo a Cardenas MD PA
• Ana I Gutierrez Lopez
• Yordelis Gutierrez Lopez
• Yandry Gutierrez Rivero
• Maria E Gutierrez, M.D.

• Physical Medicine & Rehabilitation Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.