MS. LEAH GUSTAVSON PA
NPI 1730197773
Physician Assistant in Commack, NY

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
763 LARKFIELD RD, COMMACK, NY 11725(631) 462-2225 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Leah Gustavson Pa NPPES

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

MS. LEAH GUSTAVSON PA (NPI 1730197773) is an individual physician assistant in Commack, New York, licensed in New York (005119) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1994).

NPPES Registry Identity

NPI1730197773
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LEAH GUSTAVSONCredential: PA
Location Address763 LARKFIELD RDCommack, NY 11725-3131
Mailing Address763 Larkfield RdCommack, NY 11725-3131 · (631) 462-2225
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1994
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 9, 2012
NPI 1730197773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 005119 Licensed in FL · PA 9105115
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
763 LARKFIELD RD, Commack, NY 11725

Other Identifiers 2

Medicare UPINS76707NY
Medicare PINOF2941NY

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

Ms. Leah Gustavson Pa 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 ID9931191467
PECOS Enrollment IDI20040402000299
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

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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
44 services41 patients

Hospital Affiliations CMS Care Compare

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
763 LARKFIELD RD
COMMACK, NY 11725
Physical Therapist
763 LARKFIELD RD, SUITE 101
COMMACK, NY 11725
Physical Medicine & Rehabilitation
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physical Medicine & Rehabilitation (Pain Medicine)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physician Assistant (Surgical)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725
Physician Assistant (Surgical)
763 LARKFIELD RD
COMMACK, NY 11725
Clinic/Center (Radiology)
763 LARKFIELD RD
COMMACK, NY 11725
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
763 LARKFIELD RD, 2ND FLOOR
COMMACK, NY 11725

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 Leah Gustavson's NPI number?

The NPI number for Leah Gustavson is 1730197773. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Leah Gustavson located?

Leah Gustavson practices at 763 Larkfield Rd, Commack, NY 11725. The listed phone number is (631) 462-2225.

What is Leah Gustavson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leah Gustavson enrolled in Medicare?

Yes. Leah 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.

Is Leah Gustavson affiliated with any hospitals?

According to CMS data, Leah Gustavson is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Leah Gustavson was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.