KURT JOSEPH GUSTAFSON DPM
NPI 1326069055
Podiatrist - Foot Surgery in Lehighton, PA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
215 S 1ST ST, LEHIGHTON, PA 18235(610) 377-5544(610) 377-6744 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kurt Joseph Gustafson Dpm NPPES

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

KURT JOSEPH GUSTAFSON DPM (NPI 1326069055) is an individual foot surgery provider in Lehighton, Pennsylvania, licensed in Pennsylvania (SC004598L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Temple University School Of Medicine (1999).

NPPES Registry Identity

NPI1326069055
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameKURT JOSEPH GUSTAFSONCredential: DPM
Location Address215 S 1ST STLehighton, PA 18235-2163
Mailing Address215 S 1st StLehighton, PA 18235-2163 · (610) 377-5544 · Fax (610) 377-6744
Fax(610) 377-6744
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1999
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 21, 2011
NPI 1326069055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in PA · SC004598L
215 S 1ST ST, Lehighton, PA 18235

Other Identifiers 8

Other80426PA · Geisinger
Other480033403PA · Railroad Medicare
Other2811707PA · Aetna No
Other50000307PA · Blue Cross
Medicare PIN043017E7ZPA
Medicaid0008247770003PA
Medicare UPINU82363PA
Other815699PA · 1st Priority

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

Kurt Joseph 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 ID7810051232
PECOS Enrollment IDI20090203000449
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, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
775 services226 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
668 services181 patients
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.
654 services194 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.
645 services177 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
468 services147 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.
257 services169 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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
52%219 patients3/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
0%291 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
1%544 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%198 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%1,128 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%168 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
0%301 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%1,128 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
63%1,128 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$61.34 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers11 claims62 services$25.01 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 4

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

Chiropractor
215 S 1ST ST
LEHIGHTON, PA 18235
Podiatrist (Foot Surgery)
215 S 1ST ST
LEHIGHTON, PA 18235
Podiatrist (Foot & Ankle Surgery)
215 S 1ST ST
LEHIGHTON, PA 18235
Podiatrist (Foot Surgery)
215 S 1ST ST
LEHIGHTON, PA 18235

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 Kurt Gustafson's NPI number?

The NPI number for Kurt Gustafson is 1326069055. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kurt Gustafson located?

Kurt Gustafson practices at 215 S 1st St, Lehighton, PA 18235. The listed phone number is (610) 377-5544.

What is Kurt Gustafson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Kurt Gustafson enrolled in Medicare?

Yes. Kurt 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.

Is Kurt Gustafson affiliated with any hospitals?

According to CMS data, Kurt Gustafson is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kurt Gustafson was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.