Doctor profile · Federal record

Dr. Gustavo Vidal, PT

Specialist · Wake Forest, NC

  • NPI 1184657298
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
123 Capcom Ave Ste 2
Wake Forest, NC 275876517
(919) 551-4142
fax (919) 694-6417
Mailing address
1333 Litchborough Way
Wake Forest, NC 275873612

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
February 19, 2024
Specialty taxonomy
174400000X — NUCC code
State license (1)
North Carolina #8191

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184657298. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,805
Distinct HCPCS
6
Medicare allowed
$45,363
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 1,098 55 $25
97140 Therapy procedure using manual technique, each 15 minutes 521 48 $20
97116 Therapy procedure for walking training, each 15 minutes 101 19 $22
97035 Application of ultrasound, each 15 minutes 34 14 $11
97162 Evaluation for physical therapy, typically 30 minutes 33 31 $96
97161 Evaluation for physical therapy, typically 20 minutes 18 17 $96

In context: peer comparison

Among 1 peers in Wake Forest Specialist, average services per provider: 300. This provider delivers 6.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Gustavo Vidal's medical specialty?
Dr. Gustavo Vidal practices Specialist in Wake Forest, NC.
Where does Dr. Gustavo Vidal practice?
Dr. Gustavo Vidal practices at 123 Capcom Ave Ste 2, Wake Forest, NC 275876517. Office phone: 9195514142.
What is Dr. Gustavo Vidal's NPI?
Dr. Gustavo Vidal's National Provider Identifier (NPI) is 1184657298, issued by NPPES.
What procedures does Dr. Gustavo Vidal commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure for walking training (HCPCS 97116). Source: CMS Medicare Physician & Other Practitioners file.