DR. MARIA M. GUSTILO (M.D.) – Psychiatry Physician, NPI 1962557421

DR. MARIA M. GUSTILO (M.D.) is a healthcare provider. based in Osawatomie, Kansas. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 0420853 (KS). The NPI Number for DR. MARIA M. GUSTILO (M.D.) is 1962557421

Main info

Female
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA M. GUSTILO (M.D.)
NPI
1962557421
Phone
(913) 755-7000
Address
500 STATE HOSPITAL DR
Enumeration Date
24 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9137557135
Graduation Year
1968 (58 years ago)
PAC ID
6901853233
Group Practice PAC ID
5698053866
Professional Enrollment ID
I20050407000968
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARIA M. GUSTILO (M.D.)

  • State Hospital Drive, Osawatomie, Miami County, Kansas, 66064, United States

    OSAWATOMIE, KS 660641813

    Phone: (913) 755-7000

    Fax: (913) 755-7127

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Alkermes, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050407000968IPsychiatryKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66064)

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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: 5698053866View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MARIA M. GUSTILO (M.D.)?
Save NPI 1962557421 if you need a stable reference for DR. MARIA M. GUSTILO (M.D.).
Is DR. MARIA M. GUSTILO (M.D.) active in the national directory?
DR. MARIA M. GUSTILO (M.D.)'s public NPI profile is in an active state.
What field does DR. MARIA M. GUSTILO (M.D.) work in?
You can think of DR. MARIA M. GUSTILO (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARIA M. GUSTILO (M.D.)?
We surface Osawatomie, Kansas for DR. MARIA M. GUSTILO (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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