DR. VALERIE ANTOINE-GUSTAVE MD, MPH
NPI 1750548269
Internal Medicine - Gastroenterology in New York, NY

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
525 E 68TH ST # M-528, BOX 130, NEW YORK, NY 10065(212) 746-4749(212) 746-6692 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Valerie Antoine-gustave Md, Mph NPPES

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

DR. VALERIE ANTOINE-GUSTAVE MD, MPH (NPI 1750548269) is an individual gastroenterology provider in New York, New York, licensed in New York (257450) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1750548269
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VALERIE ANTOINE-GUSTAVECredential: MD, MPH
Location Address525 E 68TH ST # M-528, BOX 130New York, NY 10065-4870
Mailing Address535 5th Ave, Suite 611New York, NY 10017-3620 · (212) 227-3688 · Fax (212) 227-3368
Fax(212) 746-6692
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateMay 21, 2008
Last NPPES UpdateJanuary 14, 2016
NPI 1750548269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 257450
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
525 E 68TH ST # M-528, New York, NY 10065

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. Valerie Antoine-gustave Md, Mph 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 ID1850519257
PECOS Enrollment IDI20140827000336
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 10

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

Hospitalist
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Critical Care Medicine)
525 E 68TH ST # M-528, BOX 96
NEW YORK, NY 10065
Specialist
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Critical Care Medicine)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Internal Medicine (Cardiovascular Disease)
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # M-528, BOX 130
NEW YORK, NY 10065

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 Valerie Antoine-gustave's NPI number?

The NPI number for Valerie Antoine-gustave is 1750548269. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Valerie Antoine-gustave located?

Valerie Antoine-gustave practices at 525 E 68th St # M-528 Box 130, New York, NY 10065. The listed phone number is (212) 746-4749.

What is Valerie Antoine-gustave's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Valerie Antoine-gustave enrolled in Medicare?

Yes. Valerie Antoine-gustave 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.

When was this NPI record last updated?

The NPPES record for Valerie Antoine-gustave was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.