ERIC GUSTAFSON DPM
NPI 1316470255
Podiatrist - Foot & Ankle Surgery in Louisville, KY

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6801 DIXIE HWY STE 134, LOUISVILLE, KY 40258(502) 447-4500(502) 449-0108 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Gustafson Dpm NPPES

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

ERIC GUSTAFSON DPM (NPI 1316470255) is an individual foot & ankle surgery provider in Louisville, Kentucky, licensed in Kentucky (262794) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316470255
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameERIC GUSTAFSONCredential: DPM
Location Address6801 DIXIE HWY STE 134Louisville, KY 40258-3952
Mailing Address6801 Dixie Hwy Ste 134Louisville, KY 40258-3952 · (502) 447-4500
Fax(502) 449-0108
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
NPI 1316470255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in KY · 262794
6801 DIXIE HWY STE 134, Louisville, KY 40258

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

Eric Gustafson Dpm 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 ID9133523277
PECOS Enrollment IDI20210811001490
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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
430 services233 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.
139 services109 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
111 services76 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.
110 services88 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.
98 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 6

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

Durable Medical Equipment & Medical Supplies
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258
Podiatrist (Foot & Ankle Surgery)
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258
Podiatrist (Foot & Ankle Surgery)
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258
Podiatrist (Foot & Ankle Surgery)
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258
Nurse Practitioner
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258
Podiatrist (Foot & Ankle Surgery)
6801 DIXIE HWY STE 134
LOUISVILLE, KY 40258

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 Eric Gustafson's NPI number?

The NPI number for Eric Gustafson is 1316470255. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Eric Gustafson located?

Eric Gustafson practices at 6801 Dixie Hwy Ste 134, Louisville, KY 40258. The listed phone number is (502) 447-4500.

What is Eric Gustafson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Eric Gustafson enrolled in Medicare?

Yes. Eric 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.

What insurance does Eric Gustafson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Eric 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 Eric Gustafson affiliated with any hospitals?

According to CMS data, Eric Gustafson is affiliated with UofL Health - Shelbyville Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Eric Gustafson was last updated on October 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.