ANDREW ROGER GUSTAVSON M.D.
NPI 1538182118
Psychiatry & Neurology - Neurology in Thibodaux, LA
About Andrew Roger Gustavson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW ROGER GUSTAVSON M.D. (NPI 1538182118) is an individual neurology provider in Thibodaux, Louisiana, licensed in Louisiana (204876) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Andrew Roger Gustavson M.d. 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
3Medicare enrollment records show Andrew Gustavson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prosser, WA 99350
- Reassigned Medicare billing, Washington enrollment
- 132 clinicians in this Medicare group
Zillah, WA 98953
- Reassigned Medicare billing, Washington enrollment
- 80 clinicians in this Medicare group
Ellensburg, WA 98926
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kittitas County Public Hospital Dist 1
- 163 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Confluence Health Hospital
Acute Care Hospitals · Wenatchee, WAYakima Valley Memorial
Acute Care Hospitals · Yakima, WAKittitas Valley Community Hospital
Critical Access Hospitals · Ellensburg, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
THIBODAUX, LA 70301
THIBODAUX, LA 70301
THIBODAUX, LA 70301
THIBODAUX, LA 70301
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 Andrew Gustavson's NPI number?
The NPI number for Andrew Gustavson is 1538182118. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Andrew Gustavson located?
Andrew Gustavson practices at 604 N Acadia Rd Suite 411, Thibodaux, LA 70301. The listed phone number is (985) 493-3090.
What is Andrew Gustavson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Andrew Gustavson enrolled in Medicare?
Yes. Andrew Gustavson 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 Andrew Gustavson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gustavson reassigns Medicare benefits to 3 organizations: Sunnyside Community Hospital Association (Prosser, WA), Shc Medical Center Toppenish (Zillah, WA) and Kittitas County Public Hosp Dist 1 (Ellensburg, WA). 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 Andrew Gustavson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Gustavson accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Andrew Gustavson 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 Andrew Gustavson affiliated with any hospitals?
According to CMS data, Andrew Gustavson is affiliated with Confluence Health Hospital, Yakima Valley Memorial and Kittitas Valley Community Hospital.
When was this NPI record last updated?
The NPPES record for Andrew Gustavson was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Andrew Roger Gustavson, M.D. · NPI 1538182118
Neurology physician in Thibodaux, Louisiana. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1538182118 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 204876 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 604 N ACADIA RD, SUITE 411, Thibodaux, LA 70301-4897
- **Phone:** (985) 493-3090 · **Fax:** (985) 493-3091
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Sunnyside Community Hospital Association (NPI 1912305905, Prosser, WA); Shc Medical Center Toppenish (NPI 1659809457, Zillah, WA); Kittitas County Public Hosp Dist 1 (NPI 1437029832, Ellensburg, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1992
## Record status
- **NPPES last updated:** October 20, 2014
- **Other identifiers:** Medicare UPIN H59775 (CA); Medicare PIN 4Q634 (LA); Medicare PIN 368608ZJUF (LA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1538182118) · Data from the CMS NPPES public registry.