DR. ANTHONY J GUST M.D.
NPI 1215046354
Dermatology in Allentown, PA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1259 S CEDAR CREST BLVD STE 100, ALLENTOWN, PA 18103(610) 437-4134(610) 433-9690 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Mar 27, 2023, Aug 5, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Anthony J Gust M.d. NPPES

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

DR. ANTHONY J GUST M.D. (NPI 1215046354) is an individual dermatology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD432121) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1215046354
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANTHONY J GUSTCredential: M.D.
Location Address1259 S CEDAR CREST BLVD STE 100Allentown, PA 18103-6373
Mailing Address1259 S Cedar Crest Blvd, Suite 100Allentown, PA 18103-6372 · (610) 437-4134 · Fax (610) 433-9690
Fax(610) 433-9690
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1215046354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD432121
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1259 S CEDAR CREST BLVD STE 100, Allentown, PA 18103

Secondary Practice Location 1

Location 1236 Brodhead RdBethlehem, PA 18017-8924 · Phone (610) 437-4134 · Fax (610) 433-9690

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony J Gust 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 ID9133290323
PECOS Enrollment IDI20080616000460
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Gust reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
1259 S CEDAR CREST BLVD, SUITE 100
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
Psychiatry
1259 S CEDAR CREST BLVD, SUITE 230
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,660 services495 patients
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.
1,387 services1,103 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
833 services636 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
383 services327 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
307 services269 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.
245 services207 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

Physician Assistant
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Dermatology
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Nurse Practitioner (Adult Health)
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Physician Assistant
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Physician Assistant
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Dermatology
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Dermatology (Pediatric Dermatology)
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 18103

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 Anthony Gust's NPI number?

The NPI number for Anthony Gust is 1215046354. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Anthony Gust located?

Anthony Gust practices at 1259 S Cedar Crest Blvd Ste 100, Allentown, PA 18103. The listed phone number is (610) 437-4134.

What is Anthony Gust's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anthony Gust enrolled in Medicare?

Yes. Anthony Gust 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.

Which organizations bill Medicare for Anthony Gust's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Gust reassigns Medicare benefits to 2 organizations: Advanced Dermatology Associates, Ltd. (Allentown, PA) and Lehigh Valley Physician Group (Allentown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Gust's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Gust accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anthony Gust 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 Anthony Gust affiliated with any hospitals?

According to CMS data, Anthony Gust is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Gust was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.