RICHARD GUSSO M.D.
NPI 1780673434
Internal Medicine in Chattanooga, TN

Active since October 17, 2005PECOS Enrolled
94.7/100
CMS Quality Rating
2525 DESALES AVE, CHATTANOOGA, TN 37404(423) 495-2620(423) 495-2625 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richard Gusso M.d. NPPES

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

RICHARD GUSSO M.D. (NPI 1780673434) is an individual internal medicine provider in Chattanooga, Tennessee, licensed in Tennessee (45923) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780673434
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD GUSSOCredential: M.D.
Location Address2525 DESALES AVEChattanooga, TN 37404-1161
Mailing Address2525 Desales AveChattanooga, TN 37404-1161 · (423) 495-2620 · Fax (423) 495-2625
Fax(423) 495-2625
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateDecember 2, 2010
✔ NPI 1780673434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 45923
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 45923 (TN)
2525 DESALES AVE, Chattanooga, TN 37404

Other Identifiers 2

Medicare UPINA52340
Medicare PIN103I115977TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Gusso M.d. 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 Reassignment

Medicare enrollment records show Richard Gusso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
5600 BRAINERD RD, SUITE 500
Chattanooga, TN 37411
  • Reassigned Medicare billing, Tennessee enrollment
  • 570 clinicians in this Medicare group

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
334 services323 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$15.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$71.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Radiology (Diagnostic Radiology)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Clinical Exercise Physiologist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Family Medicine
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Acute Care)
2525 DESALES AVE
CHATTANOOGA, TN 37404

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 Richard Gusso's NPI number?

The NPI number for Richard Gusso is 1780673434. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Richard Gusso located?

Richard Gusso practices at 2525 Desales Ave, Chattanooga, TN 37404. The listed phone number is (423) 495-2620.

What is Richard Gusso's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Gusso enrolled in Medicare?

Yes. Richard Gusso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Gusso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Gusso reassigns Medicare benefits to Memorial Health Partners Foundation, Inc (Chattanooga, TN). The 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 Richard Gusso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Gusso accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Richard Gusso 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 Richard Gusso was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.