VICTORIA ELIZABETH GUSTAFSON MD
NPI 1619661204
Family Medicine in Columbia, MO

Q: What is Victoria Gustafson's NPI number?

The NPI number for Victoria Gustafson is 1619661204. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Q: What is Victoria Gustafson's specialty?

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

Active since June 06, 2023PECOS Enrolled

7115 E SAINT CHARLES RD, COLUMBIA, MO 65202(573) 884-6851(573) 884-0293 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Jun 6, 2023 (2 updates tracked since 2023).

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About Victoria Elizabeth Gustafson Md NPPES

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

VICTORIA ELIZABETH GUSTAFSON MD (NPI 1619661204) is an individual family medicine provider in Columbia, Missouri, licensed in Missouri (2026012610) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619661204

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVICTORIA ELIZABETH GUSTAFSONCredential: MD

Location Address7115 E SAINT CHARLES RDColumbia, MO 65202-0196

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-6851

Fax(573) 884-0293

Sole ProprietorNo

Enumeration DateJune 6, 2023

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1619661204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2026012610

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.

7115 E SAINT CHARLES RD, Columbia, MO 65202

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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 (PECOS)

Victoria Elizabeth Gustafson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65202 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 14

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

SETH COLIN FREEMAN M.D.

Family Medicine