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

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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, is affiliated with Ballinger Memorial Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2018).

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
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2018
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Leif Gustafson Md 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.

PECOS PAC ID3173900917
PECOS Enrollment IDI20220516002405
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.

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

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ballinger Memorial Hospital

Critical Access Hospitals · Ballinger, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451310
Location608 Avenue BBallinger, TX 76821 · Runnels County
Emergency services

Fisher County Hospital District

Critical Access Hospitals · Rotan, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451313
Location774 State Highway 70 NRotan, TX 79546 · Fisher County
Emergency services

W J Mangold Memorial Hospital

Critical Access Hospitals · Lockney, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451337
Location320 North MainLockney, TX 79241 · Floyd County
Emergency services

Plains Memorial Hospital

Critical Access Hospitals · Dimmitt, TX
OwnershipGovernment - Local
CMS Certification Number451350
Location310 West Halsell StreetDimmitt, TX 79027 · Castro County

Hardeman County Memorial Hospital

Critical Access Hospitals · Quanah, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451352
Location402 Mercer StQuanah, TX 79252 · Hardeman County
Emergency services

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Gustafson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare 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.

Is Eric Gustafson affiliated with any hospitals?

According to CMS data, Eric Gustafson is affiliated with Ballinger Memorial Hospital, Fisher County Hospital District, W J Mangold Memorial Hospital, Plains Memorial Hospital and Hardeman County Memorial Hospital.

When was this NPI record last updated?

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