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DR. ERIC LEIF GUSTAFSON MD
NPI 1689171035
Family Medicine in Fort Worth, TX

Active since April 11, 2018PECOS Enrolled
81.16/100
CMS Quality Rating
3924 DREXMORE RD, FORT WORTH, TX 76244(936) 933-9583 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2024, Nov 30, 2021, Apr 11, 2018 (3 updates tracked since 2018).

About Dr. Eric Leif Gustafson Md NPPES

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

DR. ERIC LEIF GUSTAFSON MD (NPI 1689171035) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (T3627) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689171035
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC LEIF GUSTAFSONCredential: MD
Location Address3924 DREXMORE RDFort Worth, TX 76244-8510
Mailing Address3924 Drexmore RdFort Worth, TX 76244-8510
Phone(936) 933-9583
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1689171035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T3627
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.
3924 DREXMORE RD, Fort Worth, TX 76244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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. Eric Leif 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.

Medicare Billing Reassignments

13

Medicare enrollment records show Eric Gustafson reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Muenster Hospital District
51 mi
Rural Health
509 N MAPLE ST
Muenster, TX 76252
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
NPI 1497750962 (940) 759-2226
Baylor County Hospital District
122 mi
Critical Access
200 STADIUM DR
Seymour, TX 76380
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1194893263 (940) 889-5572
Ballinger Memorial Hospital District
172 mi
Critical Access
608 AVENUE B
Ballinger, TX 76821
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1225038938 (325) 365-2531
Fisher County Hospital District
182 mi
Critical Access
774 STATE HIGHWAY 70 N
Rotan, TX 79546
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1104808112 (Texas)
  • 61 clinicians in this Medicare group
NPI 1598746703 (325) 735-2256
Concho County Hospital District
190 mi
Family Medicine
614 EAKER STREET, BOX 987
Eden, TX 76837
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
NPI 1134166226 (325) 869-5911
Sutton County Hospital District
255 mi
Rural Health
301 HUDSPETH ST, SUITE B
Sonora, TX 76950
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1831140979 (Texas)
  • 8 clinicians in this Medicare group
NPI 1922206606 (325) 387-7911
Concord Medical Group PLLC
268 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
268 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330
Hemphill County Hospital District
271 mi
Critical Access
1020 S 4TH ST
Canadian, TX 79014
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1578436671 (806) 323-6422
Altus Exceptional Physician Group PLLC
286 mi
Emergency Medicine
1321 N 16TH ST
Orange, TX 77630
  • Reassigned Medicare billing, Texas enrollment
  • 115 clinicians in this Medicare group
NPI 1730869207 (409) 403-3309

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
13 services13 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

81.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.33
Improvement Activities40

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 Eric Gustafson's NPI number?

The NPI number for Eric Gustafson is 1689171035. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Eric Gustafson located?

Eric Gustafson practices at 3924 Drexmore Rd, Fort Worth, TX 76244. The listed phone number is (936) 933-9583.

What is Eric Gustafson's specialty?

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

Is Eric Gustafson enrolled in Medicare?

Yes. Eric Gustafson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Gustafson reassigns Medicare benefits to 13 organizations: Muenster Hospital District (Muenster, TX), Baylor County Hospital District (Seymour, TX), Ballinger Memorial Hospital District (Ballinger, TX), Fisher County Hospital District (Rotan, TX), Concho County Hospital District (Eden, TX) and 8 more organizations, listed in the Medicare section above. 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 Eric Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Gustafson accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Eric 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.

When was this NPI record last updated?

The NPPES record for Eric Gustafson was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.