L MARK GUSTAFSON M.D.
NPI 1073555629
Otolaryngology in Carrollton, GA

Q: What is L Gustafson's NPI number?

The NPI number for L Gustafson is 1073555629. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is L Gustafson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for L Gustafson was last updated on July 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment

150 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117(770) 832-1488 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About L Mark Gustafson M.d. NPPES

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

L MARK GUSTAFSON M.D. (NPI 1073555629) is an individual otolaryngology provider in Carrollton, Georgia, licensed in Georgia (049795) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1073555629

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameL MARK GUSTAFSONCredential: M.D.

Location Address150 CLINIC AVE, SUITE 201Carrollton, GA 30117-4401

Mailing Address150 Clinic Ave, Suite 201Carrollton, GA 30117-4401 · (770) 832-1488

Phone(770) 832-1488

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 11, 2006

Last NPPES UpdateJuly 18, 2022

NPPES CertifiedJuly 18, 2022

✔ NPI 1073555629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in GA · 049795

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

150 CLINIC AVE, Carrollton, GA 30117

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Other Identifiers 3

Other841043GA · Blue Cross Clue Shield

Medicaid00906463CGA

Medicaid00906463BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

L Mark Gustafson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092885079

PECOS Enrollment IDI20080603000158

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.

Areas of Expertise CMS Part B claims 15

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 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.

450 services309 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

187 services174 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

143 services140 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

123 services123 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

85 services72 patients

X-ray of paranasal sinus, 1-2 views 70210

An X-ray of the paranasal sinus is a safe, quick imaging procedure. It uses a small amount of radiation to create images of the sinus cavities in your face. This helps doctors diagnose conditions such as sinusitis or other sinus problems. The 1-2 views mean images from one or two different angles will be taken.

80 services70 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

60 services15 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

51 services47 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

24 services17 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

22 services20 patients

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.

20 services18 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

18 services16 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.

18 services18 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

14 services12 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. WILLIAM BRADLEY GAMBRELL M.D.

Otolaryngology

150 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117

Carroll County (770) 832-1488

DR. JUBAL R WATTS M.D.

Orthopaedic Surgery

150 CLINIC AVE, STE 101
CARROLLTON, GA 30117

Carroll County (770) 834-0873

MRS. PAIGE DIANE LAMBERT M.A., CCC-A

Audiologist

150 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117

Carroll County (770) 832-1488

MELANIE JORDAN

Orthopaedic Surgery

150 CLINIC AVE, SUITE 101
CARROLLTON, GA 30117

Carroll County (678) 601-5220

SHOMARI ANDRE RUFFIN M.D.

Orthopaedic Surgery (Sports Medicine)

150 CLINIC AVE, SUITE 101
CARROLLTON, GA 30117

Carroll County (770) 834-0873

DR. GREGORY S SLAPPEY MD

Orthopaedic Surgery

150 CLINIC AVE, SUITE 101
CARROLLTON, GA 30117

Carroll County (770) 834-0873

JAMES WESLEY CULLISON MD

Urology

150 CLINIC AVE, SUITE 202
CARROLLTON, GA 30117

Carroll County (770) 834-6988

DAVID ALLEN SCRUGGS PA

Physician Assistant

150 CLINIC AVE, SUITE 101
CARROLLTON, GA 30117

Carroll County (770) 834-0873

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 L Gustafson's NPI number?

The NPI number for L Gustafson is 1073555629. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is L Gustafson located?

L Gustafson practices at 150 Clinic Ave Suite 201, Carrollton, GA 30117. The listed phone number is (770) 832-1488.

What is L Gustafson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is L Gustafson enrolled in Medicare?

Yes. L Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does L Gustafson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list L Gustafson 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 L Gustafson affiliated with any hospitals?

According to CMS data, L Gustafson is affiliated with Tanner Medical Center - Carrollton.

When was this NPI record last updated?

The NPPES record for L Gustafson was last updated on July 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.