KAREN SUE GUSTAFSON (MD) – Anatomic Pathology Physician, NPI 1417905076
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 PATHOLOGY in PA
Loading map...
Provider Addresses for KAREN SUE GUSTAFSON (MD)
800, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19109, United States
PHILADELPHIA, PA 191076130
Phone: (215) 829-3000
Fax: (215) 829-7564
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-04-02
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 |
|---|---|---|---|---|
| I20090402000585 | I | Pathology | PA | 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 |
|---|---|---|---|---|
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 307 | 274 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 206 | 148 | $0 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 202 | 153 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 128 | 23 | $0 |
| 88177 | Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode | 122 | 81 | $0 |
Insurance plans in this area (ZIP 19107)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Pulmonary Disease | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Nurse Practitioner | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Nurse Practitioner | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.