DR. DAVID KEVIN GUSTAVISON (D.O.) – Family Medicine Physician, NPI 1467427682
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. DAVID KEVIN GUSTAVISON (D.O.)
Covenant Medical Center Harrison, 1447, North Harrison Street, Old Saginaw City, Saginaw, Saginaw County, Michigan, 48602, United States
SAGINAW, MI 486024727
Phone: (989) 583-4401
Fax: (989) 583-4409
Type: Mailing
Covenant HealthCare 900 Cooper, 900, Cooper Avenue, Saginaw, Saginaw County, Michigan, 48602, United States
SUITE 4400
SAGINAW, MI 486025182
Phone: (989) 583-4401
Fax: (989) 583-4409
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $428.
Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Kerecis Limited ($235).
Total Amount
$428
General + Research + Ownership
Payments
11
Total payment records
General Amount
$428
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 |
|---|---|
| Kerecis Limited | $235 |
| Smith+Nephew, Inc. | $132 |
| HARTMANN USA, INC. | $38 |
| Solventum Corporation | $24 |
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: 2003-12-09
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 |
|---|---|---|---|---|
| I20031209000331 | I | Family Practice | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 39 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 53 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 48602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Internal Medicine | MI | |
| - | MI | |
| - | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | OH |
Reviews
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