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DR. JAMES F GUSTAINIS D.M.D
NPI 1093795080
Dentist - Oral and Maxillofacial Surgery in West Chester, PA

Active since January 18, 2006PECOS Enrolled
600 E MARSHALL ST STE 106, WEST CHESTER, PA 19380(610) 431-2161(610) 431-2173 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Oct 27, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Dr. James F Gustainis D.m.d NPPES

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

DR. JAMES F GUSTAINIS D.M.D (NPI 1093795080) is an individual oral and maxillofacial surgery provider in West Chester, Pennsylvania, licensed in Pennsylvania (DS020955L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093795080
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES F GUSTAINISCredential: D.M.D
Location Address600 E MARSHALL ST STE 106West Chester, PA 19380-4443
Mailing Address600 E Marshall St, Suite 106West Chester, PA 19380-4441 · (610) 431-2161 · Fax (610) 431-2173
Phone(610) 431-2161
Fax(610) 431-2173
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1093795080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS020955L
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
600 E MARSHALL ST STE 106, West Chester, PA 19380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. James F Gustainis D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 4

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

DR. CYNTHIA D TRENTACOSTI D.D.S
Dentist (Oral and Maxillofacial Surgery)
600 E MARSHALL ST STE 106
WEST CHESTER, PA 19380
Chester County (610) 431-2161
DR. BRADLEY TYLER BELOUS D.M.D.
Dentist (Oral and Maxillofacial Surgery)
600 E MARSHALL ST STE 106
WEST CHESTER, PA 19380
Chester County (484) 999-0956
DR. MICHAEL DAVID WALKER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
600 E MARSHALL ST STE 106
WEST CHESTER, PA 19380
Chester County (610) 431-2161
DR. AMIN KAZEMI D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
600 E MARSHALL ST STE 106
WEST CHESTER, PA 19380
Chester County (610) 431-2161

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 James Gustainis's NPI number?

The NPI number for James Gustainis is 1093795080. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is James Gustainis located?

James Gustainis practices at 600 E Marshall St Ste 106, West Chester, PA 19380. The listed phone number is (610) 431-2161.

What is James Gustainis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Gustainis enrolled in Medicare?

Yes. James Gustainis is registered in the Medicare PECOS enrollment system.

What insurance does James Gustainis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list James Gustainis 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.

When was this NPI record last updated?

The NPPES record for James Gustainis was last updated on April 7, 2022. 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.