DR. JOHN P. GUSDON (MD) – Emergency Medicine Physician, NPI 1093874471

DR. JOHN P. GUSDON (MD) is a healthcare provider. based in Dover, Delaware. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 187669 (NY). The NPI Number for DR. JOHN P. GUSDON (MD) is 1093874471

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN P. GUSDON (MD)
NPI
1093874471
Phone
(302) 480-1688
Address
640 S. STATE STREET
Enumeration Date
8 December 2006
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
3027446156
Graduation Year
1984 (42 years ago)
PAC ID
6608850029
Group Practice PAC ID
7719240696
Professional Enrollment ID
I20190618000218
Address ID
DE199013530DO640XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:19State licenses:4Digital endpointsOther names

236 EMERGENCY MEDICINE in DE

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Provider Addresses for DR. JOHN P. GUSDON (MD)

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040615000232IEmergency MedicineNCTBD
I20190618000218IEmergency MedicineDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making158143$0
99284Emergency department visit with moderate level of medical decision making148143$0
99283Emergency department visit with low level of medical decision making2826$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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Provider's Procedures

DR. JOHN P. GUSDON (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENC93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report103101

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719240696View full group profile
NameSpecialtyState
Physician AssistantNC
-VA
Emergency MedicineDE
Physician AssistantNC
Emergency MedicineNY
Emergency MedicinePA
Emergency MedicineMD
Emergency MedicineDE
Emergency MedicineDE
Emergency MedicineDE

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN P. GUSDON (MD)'s NPI?
Yes. DR. JOHN P. GUSDON (MD) is listed with NPI 1093874471 in the public NPI dataset.
Is DR. JOHN P. GUSDON (MD) listed as active for patients and plans?
The listing shows DR. JOHN P. GUSDON (MD) as active in the NPI system.
What healthcare role does DR. JOHN P. GUSDON (MD) hold?
Scheduling teams often label DR. JOHN P. GUSDON (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN P. GUSDON (MD) list a practice location?
Patients near Dover, Delaware may find DR. JOHN P. GUSDON (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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