1. Home
  2. Directory
  3. Ohio
  4. Willoughby
  5. Dentist
  6. NPI Profile

DR. RICHARD JOHN GUSTAFERRO DDS
NPI 1104958941
Dentist - General Practice in Willoughby, OH

Active since March 09, 2007PECOS Enrolled
35100 EUCLID AVENUE, SUITE #209, WILLOUGHBY, OH 44094(440) 946-1076(440) 946-2276 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard John Gustaferro Dds NPPES

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

DR. RICHARD JOHN GUSTAFERRO DDS (NPI 1104958941) is an individual general practice provider in Willoughby, Ohio, licensed in Ohio (30016753) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104958941
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD JOHN GUSTAFERROCredential: DDS
Location Address35100 EUCLID AVENUE, SUITE #209Willoughby, OH 44094-4510
Mailing Address35100 Euclid Avenue, Suite #209Willoughby, OH 44094-4510 · (440) 946-1076 · Fax (440) 946-2276
Phone(440) 946-1076
Fax(440) 946-2276
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104958941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30016753
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

35100 EUCLID AVENUE, Willoughby, OH 44094
Open in Google Maps ↗

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. Richard John Gustaferro Dds 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 44094 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Richard Gustaferro's NPI number?

The NPI number for Richard Gustaferro is 1104958941. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Richard Gustaferro located?

Richard Gustaferro practices at 35100 Euclid Avenue Suite #209, Willoughby, OH 44094. The listed phone number is (440) 946-1076.

What is Richard Gustaferro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Richard Gustaferro enrolled in Medicare?

Yes. Richard Gustaferro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Gustaferro was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.