KATHRYN OLIVIA GUSSMAN M.D.
NPI 1609220961
Family Medicine in Dallas, PA
About Kathryn Olivia Gussman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN OLIVIA GUSSMAN M.D. (NPI 1609220961) is an individual family medicine provider in Dallas, Pennsylvania, licensed in Pennsylvania (MD471792) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Cooper Medical School Of Rowan University (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Kathryn Olivia Gussman 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
2Medicare enrollment records show Kathryn Gussman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, PA 18612
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Rocket Doctor Practice Group PC
- 40 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, PA 18612
DALLAS, PA 18612
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 Kathryn Gussman's NPI number?
The NPI number for Kathryn Gussman is 1609220961. It was assigned to this individual provider in the NPPES registry on April 22, 2016.
Where is Kathryn Gussman located?
Kathryn Gussman practices at 114 Lt Michael Cleary Dr, Dallas, PA 18612. The listed phone number is (570) 675-2000.
What is Kathryn Gussman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathryn Gussman enrolled in Medicare?
Yes. Kathryn Gussman 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 Kathryn Gussman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Gussman reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Dallas, PA) and Rocket Doctor Practice Group, P.C. (Newport Beach, CA). 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 Kathryn Gussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Gussman was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kathryn Olivia Gussman, M.D. · NPI 1609220961
Family Medicine physician in Dallas, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1609220961 (Entity type: Individual)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD471792 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 LT MICHAEL CLEARY DR, Dallas, PA 18612-1649
- **Phone:** (570) 675-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1114223393, Dallas, PA); Rocket Doctor Practice Group, P.C. (NPI 1194403642, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Cooper Medical School Of Rowan University, class of 2016
## Record status
- **NPPES last updated:** February 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1609220961) · Data from the CMS NPPES public registry.