DR. GARY J GUSTAFSON (M.D.) – Emergency Medicine Physician, NPI 1881700326
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 EMERGENCY MEDICINE in NE
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Provider Addresses for DR. GARY J GUSTAFSON (M.D.)
Nebraska Methodist Hospital, 8303, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681144108
Phone: (402) 354-4424
Fax: (402) 354-4435
Type: Location
Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States
OMAHA, NE 681032797
Phone: (402) 354-4230
Fax: (402) 354-6171
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 $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Abbott Laboratories ($84).
Total Amount
$84
General + Research + Ownership
Payments
1
Total payment records
General Amount
$84
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 |
|---|---|
| Abbott Laboratories | $84 |
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: 2024-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20091113000295 | I | Emergency Medicine | NE | TBD |
| I20240903001643 | I | Emergency Medicine | ND | TBD |
| I20240905000849 | I | Emergency Medicine | IA | 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 68114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IA | |
| Family Practice | IA | |
| Emergency Medicine | VA | |
| Emergency Medicine | IA | |
| Emergency Medicine | IL |
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