Individual provider Active NPI

Edward Gusick

  • Sports Medicine (Emergency Medicine) Physician
  • Selinsgrove, PA
National Provider Identifier
1992974679
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
OS016038 Issued in PA
Practice address
191 Roosevelt Ave Ste 2000
Selinsgrove, PA 17870-7998
Phone
(570) 524-4446
Fax
(570) 768-4623
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X OS016038 PA Primary

Addresses

Primary practice location

191 Roosevelt Ave Ste 2000
Selinsgrove, PA 17870-7998

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

210 Jpm Rd Ste 300
Lewisburg, PA 17837-9367
Phone (570) 524-4446

Other practice location 2

112 N 15th St Ste 1000
Lewisburg, PA 17837-1224
Phone (570) 524-4446

Other practice location 3

435 River Ave Ste 2
Williamsport, PA 17701-3722
Phone (570) 524-4446

Other practice location 4

1201 Grampian Blvd
Suite 2F
Williamsport, PA 17701-1900
Phone (570) 321-2020

Other practice location 5

45 Bellefonte Ave Ste 2
Lock Haven, PA 17745-1237
Phone (570) 858-5328

Other practice location 6

289 S Market St
Elysburg, PA 17824-9737
Phone (570) 524-4446

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.a.gusick@upmcdirect.com UPMC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000171 PA Practitioner - Sports MedicinePractitioner - Internal Medicine 9133383540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

Hospital & facility affiliations

  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jul 12, 2012 Accepting new patients
Evangelical Medical Services Organization CurrentSince Dec 18, 2024 Accepting new patients
Haven Health and Wellness LLC CurrentSince Apr 7, 2025 Accepting new patients
Susquehanna Physician Services Sports Medicine CurrentSince Jul 12, 2012 Accepting new patients
Evangelical Medical Services Organization CurrentSince Dec 18, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Susquehanna Physician Services Current Accepting new patients
Wellspan Medical Group Past Accepting new patients
River Valley Health Past Accepting new patients
River Valley Health Past Accepting new patients
River Valley Health Past Accepting new patients

Locations

289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

210 Jpm Rd
Ste 300
Lewisburg, PA 17837

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

112 N 15th St
#1000
Lewisburg, PA 17837

45 Bellefonte Ave
#2
Lock Haven, PA 17745
Phone (570) 858-5328

10 Shady Ln
Ste 101
Muncy, PA 17756
Phone (570) 546-4059

191 Roosevelt Ave
Ste 2000
Selinsgrove, PA 17870

1201 Grampian Blvd
Ste 2F
Williamsport, PA 17701
Phone (570) 320-7598

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1705 Warren Ave
#101103
Williamsport, PA 17701

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

435 River Ave
Ste 2
Williamsport, PA 17701

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: egusick466502@wellspan.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1992974679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROOSEVELT AVE STE 2000",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707998",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Jpm Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379367",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 15th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371224",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013722",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Grampian Blvd",
            "address_2": "SUITE 2F",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177011900",
            "country_code": "US",
            "telephone_number": "570-321-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Bellefonte Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "177451237",
            "country_code": "US",
            "telephone_number": "570-858-5328",
            "fax_number": "570-858-5355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Market St",
            "address_purpose": "LOCATION",
            "city": "Elysburg",
            "state": "PA",
            "postal_code": "178249737",
            "country_code": "US",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSICK",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS016038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.a.gusick@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.