DR. MARK D. GUSTAFSON MD
NPI 1467439000
Family Medicine in Deer River, MN
About Dr. Mark D. Gustafson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK D. GUSTAFSON MD (NPI 1467439000) is an individual family medicine provider in Deer River, Minnesota, licensed in Minnesota (34203) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Virginia, and maintains a secondary practice location in Grand Rapids.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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 (PECOS)
Dr. Mark D. Gustafson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mark Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Deer River, MN 56636
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Deer River
Critical Access Hospitals · Deer River, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56636 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEER RIVER, MN 56636
DEER RIVER, MN 56636
DEER RIVER, MN 56636
DEER RIVER, MN 56636
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 Mark Gustafson's NPI number?
The NPI number for Mark Gustafson is 1467439000. It was assigned to this individual provider in the NPPES registry on December 26, 2005.
Where is Mark Gustafson located?
Mark Gustafson practices at 115 10th Ave NE, Deer River, MN 56636. The listed phone number is (218) 246-8275.
What is Mark Gustafson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Gustafson enrolled in Medicare?
Yes. Mark Gustafson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mark Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gustafson reassigns Medicare benefits to 2 organizations: Deer River Healthcare Center, Inc. (Deer River, MN) and Grand Itasca Clinic And Hospital (Grand Rapids, MN). 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 Mark Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Gustafson accept?
Health plans from HealthPartners list Mark 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 Mark Gustafson affiliated with any hospitals?
According to CMS data, Mark Gustafson is affiliated with Essentia Health Virginia and Essentia Health Deer River.
When was this NPI record last updated?
The NPPES record for Mark Gustafson was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Mark D. Gustafson, MD · NPI 1467439000
Family Medicine physician in Deer River, Minnesota. Individual provider, active in the CMS NPPES registry since December 26, 2005.
## Identity
- **NPI:** 1467439000 (Entity type: Individual)
- **Enumerated:** December 26, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34203 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 10TH AVE NE, Deer River, MN 56636-8795
- **Phone:** (218) 246-8275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Deer River Healthcare Center, Inc. (NPI 1215041199, Deer River, MN); Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1987
## Record status
- **NPPES last updated:** December 21, 2017
- **Other identifiers:** Medicaid 430703800 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1467439000) · Data from the CMS NPPES public registry.