DR. CARL JOSEPH GUSTAS SR. DO
NPI 1194773036
Family Medicine in Chicago, IL

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
600 W ADAMS ST, CHICAGO, IL 60661(312) 506-0900 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl Joseph Gustas Sr. Do NPPES

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

DR. CARL JOSEPH GUSTAS SR. DO (NPI 1194773036) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (36112922) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194773036
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARL JOSEPH GUSTAS SR.Credential: DO
Location Address600 W ADAMS STChicago, IL 60661-3604
Mailing Address600 W Adams StChicago, IL 60661-3604 · (312) 506-0900
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 20, 2011
NPI 1194773036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 36112922
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 W ADAMS ST, Chicago, IL 60661

Other Identifiers 1

Medicare UPINH55019IL

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. Carl Joseph Gustas Sr. Do 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 ID7214943596
PECOS Enrollment IDI20060315000044
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 16

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.
194 services185 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
139 services124 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
137 services136 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services56 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.
55 services55 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
53 services53 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60661 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Physician Assistant
600 W ADAMS ST
CHICAGO, IL 60661
Physician Assistant
600 W ADAMS ST
CHICAGO, IL 60661
Nurse Practitioner (Family)
600 W ADAMS ST
CHICAGO, IL 60661

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 Carl Gustas's NPI number?

The NPI number for Carl Gustas is 1194773036. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Carl Gustas located?

Carl Gustas practices at 600 W Adams St, Chicago, IL 60661. The listed phone number is (312) 506-0900.

What is Carl Gustas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carl Gustas enrolled in Medicare?

Yes. Carl Gustas 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.

Is Carl Gustas affiliated with any hospitals?

According to CMS data, Carl Gustas is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carl Gustas was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.