DR. JAMES GUSFA DO
NPI 1437287745
Psychiatry & Neurology - Psychiatry in Middletown, CT
About Dr. James Gusfa Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES GUSFA DO (NPI 1437287745) is an individual psychiatry provider in Middletown, Connecticut, licensed in Connecticut (42527) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Westport, and is a graduate of Michigan State University College Of Osteopathic Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. James Gusfa Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show James Gusfa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 89 clinicians in this Medicare group
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 14 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hartford, CT 06112
- Reassigned Medicare billing, Connecticut enrollment
- 3 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
WEST HARTFORD, CT 06457
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 James Gusfa's NPI number?
The NPI number for James Gusfa is 1437287745. It was assigned to this individual provider in the NPPES registry on February 28, 2007.
Where is James Gusfa located?
James Gusfa practices at 1000 Silver St, Middletown, CT 06457. The listed phone number is (860) 262-5000.
What is James Gusfa's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is James Gusfa enrolled in Medicare?
Yes. James Gusfa 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 James Gusfa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Gusfa reassigns Medicare benefits to 4 organizations: State Of Connecticut (Middletown, CT), Gilead Community Services, Inc. (Middletown, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and The Connecticut Institute For The Blind Inc. (Hartford, CT). 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 James Gusfa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Gusfa accept?
Health plans from Anthem Blue Cross and Blue Shield list James Gusfa 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 James Gusfa was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. James Gusfa, DO · NPI 1437287745
Psychiatry physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1437287745 (Entity type: Individual)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 42527 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 SILVER ST, Middletown, CT 06457
- **Phone:** (860) 262-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): State Of Connecticut (NPI 1245256247, Middletown, CT); Gilead Community Services, Inc. (NPI 1518948025, Middletown, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); The Connecticut Institute For The Blind Inc. (NPI 1265590871, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2001
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437287745) · Data from the CMS NPPES public registry.