DR. GUSTAF MARSHALL III VAN ACKER (M.D., PH.D.) – Student in an Organized Health Care Education/Training Program, NPI 1053774547
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
511 PHYSICAL MEDICINE AND REHABILITATION in OH
Provider Addresses for DR. GUSTAF MARSHALL III VAN ACKER (M.D., PH.D.)
2500 METROHEALTH DR
CLEVELAND, OH 441091900
Phone: (216) 778-4486
Type: Mailing
MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States
CLEVELAND, OH 441091998
Phone: (216) 778-4486
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2023-03-18 • Largest payer in this snapshot: Medtronic, Inc. ($186).
Total Amount
$186
General + Research + Ownership
Payments
2
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $186 |
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: 2021-07-13
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20210713004099 | I | Physical Medicine And Rehabilitation | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 24 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 19 | 11 | $0 |
Insurance plans in this area (ZIP 44109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Interventional Pain Management | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Family Practice | OH | |
| Hospitalist, Internal Medicine | OH | |
| Internal Medicine | OH | |
| Sports Medicine, Orthopedic Surgery, Family Practice | OH |
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