DR. DANIEL GUSTKEY (DO) – Epilepsy Physician, NPI 1962896241

DR. DANIEL GUSTKEY (DO) is a healthcare provider. based in Lebanon, Oregon. specializing in NEUROLOGY. They hold the professional credentials DO. They hold a License No. U2502 (TX). The NPI Number for DR. DANIEL GUSTKEY (DO) is 1962896241

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL GUSTKEY (DO)
NPI
1962896241
Phone
Not provided
Address
200 MULLINS DR
Enumeration Date
24 March 2015
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124944000
Graduation Year
2017 (9 years ago)
PAC ID
4284906645
Group Practice PAC ID
2567762032
Professional Enrollment ID
I20230901000861
Address ID
TX787494031AU5301XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Digital endpointsOther names

550 NEUROLOGY in AZ

Provider Addresses for DR. DANIEL GUSTKEY (DO)

  • 200 MULLINS DR

    LEBANON, OR 973553983

    Phone:

    Type: Mailing

  • 1919 E THOMAS RD

    PHOENIX, AZ 850167710

    Phone: (602) 933-0970

    Type: Location

  • 7940 Shoal Creek Blvd Ste 100

    Austin, TX 787577589

    Phone: (512) 494-4000

    Fax: (551) 249-4402

    Type: Location

  • 7940 SHOAL CREEK BLVD STE 100

    AUSTIN, TX 787577589

    Phone: (512) 494-4000

    Type: Mailing

  • 5301 DAVIS LN BLDG A200

    AUSTIN, TX 787494062

    Phone: (512) 494-4000

    Fax: (512) 494-4090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 191 Open Payments records for all available years, with a total value of $8,175.

Total Amount is formed as General ($8,175) + Research ($0) + Ownership ($0) = $8,175.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: LivaNova USA, Inc. ($2,402).

Total Amount

$8,175

General + Research + Ownership

Payments

191

Total payment records

General Amount

$8,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-01

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
I20230901000861INeurologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97355)

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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: 2567762032View full group profile
NameSpecialtyState
Neurology, Pediatric MedicineTX
N E U R O L O G YTX
N E U R O L O G YTX
Neurology, Pediatric MedicineTX
-TX
N E U R O L O G YTX
Pediatric Medicine, EpileptologistsTX
-TX
Psychiatry, EpileptologistsTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DANIEL GUSTKEY (DO)?
NPI 1962896241 is assigned to DR. DANIEL GUSTKEY (DO) under the national enumeration system.
Does this profile mean DR. DANIEL GUSTKEY (DO) is currently active?
Yes — DR. DANIEL GUSTKEY (DO) appears active in the national provider directory.
What field does DR. DANIEL GUSTKEY (DO) work in?
You can think of DR. DANIEL GUSTKEY (DO) as practicing within Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DANIEL GUSTKEY (DO)'s primary listing?
We display Lebanon, Oregon because that is what the record indicates for DR. DANIEL GUSTKEY (DO).
Is DR. DANIEL GUSTKEY (DO) a real provider?
This page reflects official NPPES data for NPI 1962896241. Always confirm identity and privileges with the practice and licensing boards.

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