DR. STACY ELIZABETH GUSTIN D.O.
NPI 1265618136
Family Medicine in Phoenix, AZ

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment
4840 E INDIAN SCHOOL RD, SUITE 100, PHOENIX, AZ 85018(480) 882-7360(602) 952-9432 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacy Elizabeth Gustin D.o. NPPES

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

DR. STACY ELIZABETH GUSTIN D.O. (NPI 1265618136) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (4643) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Mid West Medical College (2005).

NPPES Registry Identity

NPI1265618136
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACY ELIZABETH GUSTINCredential: D.O.
Location Address4840 E INDIAN SCHOOL RD, SUITE 100Phoenix, AZ 85018-5500
Mailing Address4840 E Indian School Rd, Suite 100Phoenix, AZ 85018-5500 · (480) 882-7360 · Fax (602) 840-4250
Fax(602) 952-9432
Sole ProprietorNo
Medical School CMSMid West Medical CollegeGraduated 2005
Enumeration DateJanuary 10, 2008
Last NPPES UpdateSeptember 25, 2014
NPI 1265618136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 4643
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.
4840 E INDIAN SCHOOL RD, Phoenix, AZ 85018

Other Identifiers 1

OtherZ124486AZ · Medicare Ptan

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. Stacy Elizabeth Gustin D.o. 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 ID8426125857
PECOS Enrollment IDI20080925000707
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
200 services112 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.
134 services96 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.
52 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims29 services$6.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$4.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Orthopaedic Surgery (Sports Medicine)
4840 E INDIAN SCHOOL RD, SUITE 104
PHOENIX, AZ 85018
Family Medicine
4840 E INDIAN SCHOOL RD, SUITE 101
PHOENIX, AZ 85018
Physician Assistant
4840 E INDIAN SCHOOL RD, SUITE 100
PHOENIX, AZ 85018
Nurse Practitioner (Family)
4840 E INDIAN SCHOOL RD, SUITE 101
PHOENIX, AZ 85018
Registered Nurse (General Practice)
4840 E INDIAN SCHOOL RD, SUITE 100
PHOENIX, AZ 85018
Family Medicine
4840 E INDIAN SCHOOL RD, SUITE 100
PHOENIX, AZ 85018
Physical Therapist
4840 E INDIAN SCHOOL RD, SUITE 103
PHOENIX, AZ 85018
Nurse Practitioner (Adult Health)
4840 E INDIAN SCHOOL RD, SUITE 101
PHOENIX, AZ 85018

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 Stacy Gustin's NPI number?

The NPI number for Stacy Gustin is 1265618136. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Stacy Gustin located?

Stacy Gustin practices at 4840 E Indian School Rd Suite 100, Phoenix, AZ 85018. The listed phone number is (480) 882-7360.

What is Stacy Gustin's specialty?

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

Is Stacy Gustin enrolled in Medicare?

Yes. Stacy 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 Stacy Gustin accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Stacy 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.

When was this NPI record last updated?

The NPPES record for Stacy Gustin was last updated on September 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.