1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Psychiatry Neurology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JON M GUSTAFSON MD
NPI 1275583551
Psychiatry & Neurology - Neurology in Fort Smith, AR

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
320 N GREENWOOD AVE, FORT SMITH, AR 72901(479) 434-2743(844) 454-8351 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 17, 2026, Aug 1, 2026, May 2, 2026 and 39 more (42 updates tracked since 2016).

About Dr. Jon M Gustafson Md NPPES

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

DR. JON M GUSTAFSON MD (NPI 1275583551) is an individual neurology provider in Fort Smith, Arkansas, licensed in Arkansas (E-5459) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1275583551
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JON M GUSTAFSONCredential: MD
Location Address320 N GREENWOOD AVEFort Smith, AR 72901-3454
Mailing Address7009 Naples WayFort Smith, AR 72916-8701 · (479) 431-7234 · Fax (844) 454-8351
Phone(479) 434-2743
Fax(844) 454-8351
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 17, 202642 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1275583551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in AR · E-5459✔ Licensed in KY · 29264
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
320 N GREENWOOD AVE, Fort Smith, AR 72901
Open in Google Maps ↗

Other Identifiers 2

Medicaid167300001AR
Medicaid200126290AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. Jon M Gustafson Md 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 ID2567498017
PECOS Enrollment IDI20080305000213, I20250924003645
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 Jon Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Neuroscience Associates, Inc.
Same address
Specialist
320 N GREENWOOD AVE
Fort Smith, AR 72901
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1538267414 (479) 434-2743
Choctaw Nation Of Oklahoma
31 mi
Primary Care
109 KERR AVE
Poteau, OK 74953
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1710953799 (918) 567-7000

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 3

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.
82 services65 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.
75 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES

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

CLINICAL NEUROSCIENCE ASSOCIATES, INC.
Specialist
320 N GREENWOOD AVE
FORT SMITH, AR 72901
Sebastian County (479) 434-2743

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 Jon Gustafson's NPI number?

The NPI number for Jon Gustafson is 1275583551. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Jon Gustafson located?

Jon Gustafson practices at 320 N Greenwood Ave, Fort Smith, AR 72901. The listed phone number is (479) 434-2743.

What is Jon Gustafson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jon Gustafson enrolled in Medicare?

Yes. Jon Gustafson 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 Jon Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Gustafson reassigns Medicare benefits to 2 organizations: Clinical Neuroscience Associates, Inc. (Fort Smith, AR) and Choctaw Nation Of Oklahoma (Poteau, OK). 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 Jon Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Gustafson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jon Gustafson 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 Jon Gustafson affiliated with any hospitals?

According to CMS data, Jon Gustafson is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Jon Gustafson was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.