PAUL JENE GUSTIN (DO) – Neurological Surgery Physician, NPI 1184117038
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
327 NEUROSURGERY in IL
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Provider Addresses for PAUL JENE GUSTIN (DO)
2568, Sedona Drive, North Bridge, Normal, McLean County, Illinois, 61761, United States
NORMAL, IL 617615478
Phone: (801) 787-9921
Type: Mailing
1300, Franklin Avenue, Normal, McLean County, Illinois, 61701, United States
NORMAL, IL 617613592
Phone: (309) 268-3502
Type: Location
1055 N 300 W Ste 300
Provo, UT 846043373
Phone: (385) 345-3560
Type: Location
3000 N TRIUMPH BLVD STE 330
LEHI, UT 840437188
Phone: (385) 345-3560
Fax: (877) 331-0467
Type: Mailing
3000 N TRIUMPH BLVD STE 240
LEHI, UT 840437187
Phone: (385) 345-3560
Fax: (877) 331-0467
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $7,012.
Total Amount is formed as General ($7,012) + Research ($0) + Ownership ($0) = $7,012.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Globus Medical, Inc. ($3,234).
Total Amount
$7,012
General + Research + Ownership
Payments
30
Total payment records
General Amount
$7,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $3,234 |
| Orthofix Medical, Inc. | $2,410 |
| Medical Device Business Services, Inc. | $808 |
| Medtronic, Inc. | $535 |
| Integra LifeSciences Corporation | $25 |
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: 2025-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250514000482 | I | Neurosurgery | UT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| N E U R O S U R G E R Y | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Orthopedic Surgery | UT | |
| Physician Assistant | UT |
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