Active NPI
Kurt Joseph Gustafson, DPM
- Foot Surgery Podiatrist
- Lehighton, PA
National Provider Identifier
1326069055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC004598L
- Practice address
- 215 S 1St St
Lehighton, PA 18235-2163 - Phone
- (610) 377-5544
- Fax
- (610) 377-6744
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC004598L | PA | Primary |
Addresses
Primary practice location
215 S 1St St
Lehighton, PA 18235-2163
Mailing address
215 S 1St St
Lehighton, PA 18235-2163
Phone (610) 377-5544
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008247770003 | Medicaid | PA | |
| 815699 | Other | PA | 1ST PRIORITY |
| 480033403 | Other | PA | RAILROAD MEDICARE |
| 50000307 | Other | PA | BLUE CROSS |
| 2811707 | Other | PA | AETNA NO |
| 80426 | Other | PA | GEISINGER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
215 S 1St St
Lehighton, PA 18235-2163
Phone (610) 377-5544
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.58 of 100
- Quality
- 100
- Promoting interoperability
- 51
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 53 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 3010 |
| Removal or shaving of skin growth | 1207 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Foot and Ankle Centers PC | Foot Surgery | Current | Accepting new patients |
| Kenion Podiatry Associates PC | Foot Surgery | Past | Accepting new patients |
Locations
1206 North St
Jim Thorpe, PA 18229
Phone (570) 325-3317
185 Delaware Ave
Ste A
Palmerton, PA 18071
Phone (610) 824-2121
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/359009/r4
Organizations & group practices 2
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.
-
- Foot Surgery Podiatrist
- Lehighton, PA
- NPI 1316194632
-
- Foot Surgery Podiatrist
- Lehighton, PA
- NPI 1194744334
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1326069055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S 1ST ST",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182352163",
"telephone_number": "610-377-5544",
"fax_number": "610-377-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S 1ST ST",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182352163",
"telephone_number": "610-377-5544",
"fax_number": "610-377-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "KURT",
"middle_name": "JOSEPH",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC004598L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008247770003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST PRIORITY",
"identifier": "815699",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480033403",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50000307",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NO",
"identifier": "2811707",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "80426",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lehighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.