OLEG GUSAKOV (MD) – Anesthesiology Physician, NPI 1114192556

OLEG GUSAKOV (MD) is a healthcare provider. based in Westwood, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 239565 (MA). The NPI Number for OLEG GUSAKOV (MD) is 1114192556

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
OLEG GUSAKOV (MD)
NPI
1114192556
Phone
(781) 407-7713
Address
690 CANTON ST
Enumeration Date
28 April 2008
Last Update Date
23 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9086852200
Graduation Year
2005 (21 years ago)
PAC ID
1153472097
Group Practice PAC ID
2567758931
Professional Enrollment ID
I20190520001255
Address ID
NJ088762519SO110XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:18State licenses:3Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

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Provider Addresses for OLEG GUSAKOV (MD)

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    SUITE 325

    WESTWOOD, MA 02090

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    Type: Mailing

  • PO BOX 829642

    PHILADELPHIA, PA 191829642

    Phone: (866) 470-6626

    Type: Mailing

  • 690 Canton St

    Suite 325

    Westwood, MA 02090

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    Type: Location

  • 1 ROBERT WOOD JOHNSON PL

    NEW BRUNSWICK, NJ 089011928

    Phone: (732) 828-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($53).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$53
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: 2019-05-20

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
I20190520001255IAnesthesiologyNJTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
00104Anesthesia for electroshock therapy2213$0
76942Ultrasonic guidance for needle placement1717$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1311$0
View full utilization report →

Insurance plans in this area (ZIP 02090)

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Provider's Procedures

OLEG GUSAKOV (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMA01402Anesthesia for open or endoscopic total knee joint replacement1818
ANESTHESIOLOGYMA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1714

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: 2567758931View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YNJ
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

How is OLEG GUSAKOV (MD) identified in CMS data?
CMS-hosted NPPES data lists OLEG GUSAKOV (MD) with NPI 1114192556.
Does the file indicate OLEG GUSAKOV (MD) is practicing under active NPI?
Directory data currently reports OLEG GUSAKOV (MD) as active.
What healthcare role does OLEG GUSAKOV (MD) hold?
Scheduling teams often label OLEG GUSAKOV (MD) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for OLEG GUSAKOV (MD)?
OLEG GUSAKOV (MD)'s geographic hint is Westwood, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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