DR. JOHN P. GUSDON MD
NPI 1093874471
Emergency Medicine in Dover, DE

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
640 S STATE ST, DOVER, DE 19901(302) 744-6156(302) 735-3845 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2019, Jun 6, 2017 (2 updates tracked since 2017).

About Dr. John P. Gusdon Md NPPES

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

DR. JOHN P. GUSDON MD (NPI 1093874471) is an individual emergency medicine provider in Dover, Delaware, licensed in Delaware (C1-0013100) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1984).

NPPES Registry Identity

NPI1093874471
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN P. GUSDONCredential: MD
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S. State Street, Mail Code 3055Dover, DE 19901-3530 · (302) 480-1688 · Fax (302) 480-9807
Fax(302) 735-3845
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1984
Enumeration DateDecember 8, 2006
Last NPPES UpdateJune 4, 20192 updates tracked since enumeration
NPI 1093874471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in DE · C1-0013100 Licensed in NY · 187669 Licensed in NC · 29580
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 266581 (MA)
640 S STATE ST, Dover, DE 19901

Other Identifiers 1

Medicaid8937940NC

Accepted 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

Dr. John P. Gusdon Md 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 ID6608850029
PECOS Enrollment IDI20190618000218
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
173 services162 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
136 services132 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Pharmacist
640 S STATE ST
DOVER, DE 19901
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901

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 John Gusdon's NPI number?

The NPI number for John Gusdon is 1093874471. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is John Gusdon located?

John Gusdon practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 744-6156.

What is John Gusdon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Gusdon enrolled in Medicare?

Yes. John Gusdon 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 John Gusdon accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list John Gusdon 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 John Gusdon was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.