GILBERTO JR. SUSTACHE (M.D.) – Family Medicine Physician, NPI 1205898509

GILBERTO JR. SUSTACHE (M.D.) is a healthcare provider. based in Marlborough, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 295121 (MA). The NPI Number for GILBERTO JR. SUSTACHE (M.D.) is 1205898509

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
GILBERTO JR. SUSTACHE (M.D.)
NPI
1205898509
Phone
(508) 422-4844
Address
65 BOSTON POST RD W STE 100
Enumeration Date
4 April 2006
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5084224844
Graduation Year
2001 (25 years ago)
PAC ID
4587612486
Professional Enrollment ID
I20230120002073
Address ID
MA017521872MA65XXXWXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for GILBERTO JR. SUSTACHE (M.D.)

  • 65 BOSTON POST RD W STE 100

    MARLBOROUGH, MA 017521855

    Phone: (508) 422-4844

    Fax: (833) 438-8080

    Type: Mailing

  • Southwest Freeway, Sugar Land, Fort Bend County, Texas, 77479, United States

    STE. B

    SUGAR LAND, TX 774792328

    Phone: (281) 277-0695

    Fax: (281) 277-0698

    Type: Mailing

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$21
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: 2023-01-20

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
I20230120002073IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13889$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 01752)

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Reviews

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Frequently asked questions

How do payers reference GILBERTO JR. SUSTACHE (M.D.)?
For GILBERTO JR. SUSTACHE (M.D.), use NPI 1205898509 as the unique 10-digit identifier.
Is there an active status for GILBERTO JR. SUSTACHE (M.D.)?
For scheduling context, GILBERTO JR. SUSTACHE (M.D.) is shown as active in the registry.
How would a patient describe GILBERTO JR. SUSTACHE (M.D.)'s focus?
For GILBERTO JR. SUSTACHE (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GILBERTO JR. SUSTACHE (M.D.)?
Directory geography for GILBERTO JR. SUSTACHE (M.D.) centers on Marlborough, Massachusetts.
Can I trust this NPI listing for GILBERTO JR. SUSTACHE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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