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MICHAEL JOSEPH GUSTIN
NPI 1225665151
Orthopaedic Surgery in Seattle, WA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
325 9TH AVE, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Mar 23, 2020 (2 updates tracked since 2020).

About Michael Joseph Gustin NPPES

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

MICHAEL JOSEPH GUSTIN (NPI 1225665151) is an individual orthopaedic surgery provider in Seattle, Washington, licensed in Washington (MD61668082) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225665151
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL JOSEPH GUSTIN
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Phone(206) 520-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1225665151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD61668082
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD61668082 (WA)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD61668082 (WA)
325 9TH AVE, Seattle, WA 98104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Michael Joseph Gustin 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 ID5890206981
PECOS Enrollment IDI20250616002801
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.

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

SANDRA K WALKER ARNP
Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 598-0502
JULIA J VISSER DPT
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
King County (206) 744-1675
GENIA J MONCADA
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
King County (206) 731-3219
JACQUELINE M. KIM LICSW, MSW
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
King County (206) 744-8511
MS. DIANE E WHEELER MS, PA-C
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-3000
AMELIA V. RIVERA
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 774-3300
TIMOTHY WILLIAM MENZA MD, PHD
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 520-5000
DEMETRIOS TEREZAKIS
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-6112

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 Michael Gustin's NPI number?

The NPI number for Michael Gustin is 1225665151. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Michael Gustin located?

Michael Gustin practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Michael Gustin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Gustin enrolled in Medicare?

Yes. Michael Gustin 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 Michael Gustin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Gustin 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 Michael Gustin affiliated with any hospitals?

According to CMS data, Michael Gustin is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gustin was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.