GUSTAV SMITH MD
NPI 1376866442
Family Medicine in San Bernardino, CA

Q: What is Gustav Smith's NPI number?

The NPI number for Gustav Smith is 1376866442. It was assigned to this individual provider in the NPPES registry on March 3, 2010.

Q: What is Gustav Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gustav Smith was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 03, 2010PECOS EnrolledAccepts Medicare Assignment

665 N D ST, SAN BERNARDINO, CA 92401(909) 708-8158(909) 888-3627 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gustav Smith Md NPPES

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

GUSTAV SMITH MD (NPI 1376866442) is an individual family medicine provider in San Bernardino, California, licensed in California (A108436) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1376866442

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGUSTAV SMITHCredential: MD

Location Address665 N D STSan Bernardino, CA 92401-1109

Mailing Address665 N D StSan Bernardino, CA 92401-1109

Phone(909) 708-8158

Fax(909) 888-3627

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2007

Enumeration DateMarch 3, 2010

Last NPPES UpdateDecember 1, 2021

✔ NPI 1376866442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A108436

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.

665 N D ST, San Bernardino, CA 92401

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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

Gustav Smith 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 ID345372181

PECOS Enrollment IDI20100714000967

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92401 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

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