Sarah Gustafson, M.D.

Key facts

NPI

1942437207

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

0000048317 (TN)

Practice address

400 N State of Franklin Rd
Johnson City, TN 37604-6035

Phone

(423) 431-6562

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Tri-Cities Observation Services, PC Emergency Medicine Physician · Johnson City, TN · NPI 1154860146
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · TN
• Tri-Cities Regional Emergency Physicians, PC Emergency Medicine Physician · Johnson City, TN · NPI 1063950046
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · TN

Hospital & facility affiliations 3

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

• Mountain States Health Alliance Psychiatric Hospital Unit · Johnson City, TN · NPI 1023434339
  Care Compare affiliation Hospital
• Mountain States Health Alliance Psychiatric Hospital Unit · Johnson City, TN · NPI 1962915652
  Care Compare affiliation Hospital
• Mountain States Health Alliance General Acute Care Hospital · Johnson City, TN · NPI 1972606465
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

East Tennessee State University Quillen College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-Cities Observation Services, PC (18 clinicians)
Tri-Cities Regional Emergency Physicians, PC (118 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson City Medical Center Hospital · Johnson City, TN · CCN 440063

Merit-based Incentive Payment System (MIPS)

Final score

90.33 of 100 (group)

Quality

83.8

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2017.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1942437207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035",
            "telephone_number": "423-431-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0000048317",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2011-01268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

• Mark Guimond, PHARMD
• Abbigale Blossom Gujer
• Kelly P Gunter, M.D.
• Chayadevie Guntupalli, PH.D., CCC-SLP
• Hannah Christine Gustafson, DO
• Tuanzhu Ha, LAC
• Katy Scarlett Hackett, PT
• Candice Nicole Hackler, BS
• Tariq Z Haddadin, M.D.
• Molly Ann Hagemeier, PHYSICAL THERAPIST

All providers in Johnson City, TN · Emergency Medicine Physician in Tennessee