ANDREW J GUSTY MD
NPI 1790763175
Internal Medicine in Usaf Academy, CO

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
4102 PINION DR, ANDREW JAMES GUSTY MD PLLC, USAF ACADEMY, CO 80840(719) 333-5260 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew J Gusty Md NPPES

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

ANDREW J GUSTY MD (NPI 1790763175) is an individual internal medicine provider in Usaf Academy, Colorado, licensed in Arizona (35501) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1790763175
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW J GUSTYCredential: MD
Location Address4102 PINION DR, ANDREW JAMES GUSTY MD PLLCUsaf Academy, CO 80840-2502
Mailing Address4102 Pinion Dr, Andrew James Gusty Md PllcUsaf Academy, CO 80840-2502 · (719) 333-5260
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateJanuary 5, 2006
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1790763175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 35501✔ Licensed in CO · DR.0056133
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 DR.0056133 (CO)
4102 PINION DR, Usaf Academy, CO 80840

Secondary Practice Location 1

Location 12222 N Nevada AveColorado Springs, CO 80907-6819 · Phone (719) 776-8040 · Fax (719) 776-8050

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew J Gusty 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 ID9537184387
PECOS Enrollment IDI20061127000387, I20231204000698, I20251218002218
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

4

Medicare enrollment records show Andrew Gusty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
10860 NEW ALLEGIANCE DR
Colorado Springs, CO 80921
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
Hospitalist
2200 E SHOW LOW LAKE RD
Show Low, AZ 85901
  • Reassigned Medicare billing, Arizona enrollment
  • 39 clinicians in this Medicare group
General Acute Care Hospital
200 WEST HOSPITAL DRIVE
Whiteriver, AZ 85941
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services58 patients
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.
86 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80840 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims66 services$1.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers48 claims48 services$19.81 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
5 suppliers51 claims51 services$104.29 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.

Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840

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 Andrew Gusty's NPI number?

The NPI number for Andrew Gusty is 1790763175. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Andrew Gusty located?

Andrew Gusty practices at 4102 Pinion Dr Andrew James Gusty MD PLLC, Usaf Academy, CO 80840. The listed phone number is (719) 333-5260.

What is Andrew Gusty's specialty?

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

Is Andrew Gusty enrolled in Medicare?

Yes. Andrew Gusty 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.

Which organizations bill Medicare for Andrew Gusty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gusty reassigns Medicare benefits to 4 organizations: Catholic Health Initiatives Colorado (Colorado Springs, CO), Hospitalist Medicine Healthcare LLC (Show Low, AZ), Dhhs Ihs Phoenix Area (Whiteriver, AZ) and Inpatient Specialists Of California, PC (San Bernardino, CA). 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 Andrew Gusty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Gusty accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Andrew Gusty 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 Andrew Gusty was last updated on November 29, 2023. 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.