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DR. GUSTAF MARSHALL VAN ACKER III M.D., PH.D.
NPI 1053774547
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since April 01, 2016PECOS Enrolled
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Dr. Gustaf Marshall Van Acker Iii M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUSTAF MARSHALL VAN ACKER III M.D., PH.D. (NPI 1053774547) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2011).

NPPES Registry Identity

NPI1053774547
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GUSTAF MARSHALL VAN ACKER IIICredential: M.D., PH.D.
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-4486
Phone(216) 778-7800
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2011
Enumeration DateApril 1, 2016
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
✔ NPI 1053774547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gustaf Marshall Van Acker Iii M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840583209
PECOS Enrollment IDI20210713004099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gustaf Van Acker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Metrohealth System
0.1 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services41 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
15 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIR RAZAVI MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
WILLIAM STEPHEN BARNES II DMD
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
CATHERINE V. DABRAMO MD
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
RHONDA KOCINSKI CNP
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. VANESSA PHILLIS HO MD
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. JOI S. COPELAND DDS
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4725
DR. FRANK KENNER PH.D.
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. KRUPA PARIKH MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustaf Van Acker's NPI number?

The NPI number for Gustaf Van Acker is 1053774547. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Gustaf Van Acker located?

Gustaf Van Acker practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Gustaf Van Acker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gustaf Van Acker enrolled in Medicare?

Yes. Gustaf Van Acker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gustaf Van Acker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustaf Van Acker reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustaf Van Acker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustaf Van Acker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Gustaf Van Acker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gustaf Van Acker affiliated with any hospitals?

According to CMS data, Gustaf Van Acker is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Gustaf Van Acker was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.