Doctor profile · Federal record

Dr. Mark Gustafson, D.O.

Emergency Medicine Physician (CMS: Emergency Medicine) · Charleston, WV

  • NPI 1851667000
  • Accepts Medicare
  • MIPS 83.5 / 100 · 2023
  • 14 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3110 Maccorkle Ave Se
Charleston, WV 253041210
(304) 388-7170
Mailing address
3100 Maccorkle Ave Se, Ste 203
Charleston, WV 253041228

Credentials & registration

NPPES · NUCC
NPI registered
March 2012 — 14 yrs on file
Profile last updated
December 16, 2016
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
207P00000X — NUCC code
State license (1)
West Virginia #2723

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1851667000. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
106
Distinct HCPCS
3
Medicare allowed
$12,272
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 67 67 $117
99283 Emergency department visit with low level of medical decision making 23 23 $71
99285 Emergency department visit with high level of medical decision making 16 16 $175

In context: peer comparison

Among 17 peers in this city , average services per provider: 81. This provider delivers 1.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$21
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Sumitomo Pharma America, Inc. 1 $20.55

By nature of payment

Food and Beverage
$21

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Gustafson's medical specialty?
Dr. Mark Gustafson practices Emergency Medicine Physician in Charleston, WV.
Where does Dr. Mark Gustafson practice?
Dr. Mark Gustafson practices at 3110 Maccorkle Ave Se, Charleston, WV 253041210. Office phone: 3043887170.
What is Dr. Mark Gustafson's NPI?
Dr. Mark Gustafson's National Provider Identifier (NPI) is 1851667000, issued by NPPES.
Does Dr. Mark Gustafson accept Medicare assignment?
Yes. Dr. Mark Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.