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DR. JONATHAN GUSDORFF D.O.
NPI 1891792255
Radiology - Diagnostic Radiology in Havertown, PA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
1305 W CHESTER PIKE, HAVERTOWN, PA 19083(610) 482-4949(610) 482-4950 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jonathan Gusdorff D.o. NPPES

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

DR. JONATHAN GUSDORFF D.O. (NPI 1891792255) is an individual diagnostic radiology provider in Havertown, Pennsylvania, licensed in Pennsylvania (OS010370L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1891792255
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JONATHAN GUSDORFFCredential: D.O.
Location Address1305 W CHESTER PIKEHavertown, PA 19083-2929
Mailing Address1305 W Chester PikeHavertown, PA 19083-2929 · (610) 482-4949 · Fax (610) 482-4950
Phone(610) 482-4949
Fax(610) 482-4950
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateJune 30, 2005
Last NPPES UpdateNovember 21, 2019
✔ NPI 1891792255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · OS010370L✔ Licensed in OK · 4519
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedSpecialistTaxonomy 174400000X · License OS010370L (PA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 02005865A (IN)
1305 W CHESTER PIKE, Havertown, PA 19083
Open in Google Maps ↗

Other Identifiers 1

Medicaid200114580AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.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

Dr. Jonathan Gusdorff D.o. 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 ID446235832
PECOS Enrollment IDI20191209001488
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

2

Medicare enrollment records show Jonathan Gusdorff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC
576 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana and Pennsylvania enrollments
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Indiana University Radiology Associates, Inc.
576 mi
Diagnostic Radiology
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 279 clinicians in this Medicare group
NPI 1336192665 (317) 962-5035

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 10

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
148 services147 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
65 services65 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
54 services54 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
33 services33 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
20 services20 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 8

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

JOSEPH G CASTELLANO
Pharmacist
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 446-2795
ON DEMAND URGENT CARE GROUP, PC
Clinic/Center (Urgent Care)
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (215) 999-6060
MS. KERRY MURRAY PA-C
Physician Assistant (Medical)
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 482-4949
MAIN LINE URGENT CARE MEDICAL GROUP, P.C.
Clinic/Center (Urgent Care)
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (410) 420-6970
DR. WALTER J ADAMEK DO
Emergency Medicine
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 482-4949
GRACE HUMAN SERVICES LLC
In Home Supportive Care
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (888) 322-3611
GHALIA ELDABBAS PHARMD
Pharmacist
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 400-9779
DR. FREDERIC C STIEG M.D.
Family Medicine
1305 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 482-4949

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 Jonathan Gusdorff's NPI number?

The NPI number for Jonathan Gusdorff is 1891792255. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Jonathan Gusdorff located?

Jonathan Gusdorff practices at 1305 W Chester Pike, Havertown, PA 19083. The listed phone number is (610) 482-4949.

What is Jonathan Gusdorff's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jonathan Gusdorff enrolled in Medicare?

Yes. Jonathan Gusdorff 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 Jonathan Gusdorff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Gusdorff reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana University Radiology Associates, Inc. (Indianapolis, IN). 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 Jonathan Gusdorff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Gusdorff accept?

Health plans from CareSource and Cigna Healthcare list Jonathan Gusdorff 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 Jonathan Gusdorff affiliated with any hospitals?

According to CMS data, Jonathan Gusdorff is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Cameron Memorial Community Hospital Inc and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Jonathan Gusdorff was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.