DR. JAMES GUSFA DO
NPI 1437287745
Psychiatry & Neurology - Psychiatry in Columbus, OH

NPI Status: Active since February 28, 2007

Contact Information

700 CHILDREN'S DRIVE
CHILDREN'S HOSPITAL
COLUMBUS, OH
ZIP 43205
Phone: (614) 355-8000
Fax: (614) 355-8018

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 25
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JAMES GUSFA

This page provides the complete NPI Profile along with additional information for James Gusfa, a provider established in Columbus, Ohio with a medical specialization in Psychiatry & Neurology, focusing in psychiatry and more than 25 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1437287745 assigned on February 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 34007942 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1437287745
Provider Name
DR. JAMES GUSFA DO
Gender
Male
Entity Type
Individual
Location Address
700 CHILDREN'S DRIVE CHILDREN'S HOSPITAL COLUMBUS, OH 43205
Location Phone
(614) 355-8000
Location Fax
(614) 355-8018
Mailing Address
700 CHILDREN'S DRIVE CHILDREN'S HOSPITAL COLUMBUS, OH 43205
Mailing Phone
(614) 355-8000
Mailing Fax
(614) 355-8018
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
02-28-2007
Last Update Date
07-08-2007
Code Navigator

A psychiatrist like James Gusfa are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
34007942
License State
OH
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
085258MEDICARE UPIN (02)OH 

Medicare Participation & PECOS Enrollment Status

James Gusfa is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

James Gusfa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739371196

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101005000166

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 162 times for 42 patients

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 91 times for 32 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $41.66 for a new patient copayment and $17.01 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 43205 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.65
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $41.66
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JAMES GUSFA DO

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437287745
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467481478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 4 + 8 + 1 + 4 + 7 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1437287745 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871543801DR. DENIS KING M.D.
Individual
Surgery (Pediatric Surgery)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3900
1023278181 REBECCA A BUSH CRNA
Individual
Nurse Anesthetist, Certified Registered700 CHILDREN'S DRIVE SECTION OF ANESTHESIOLOGY
COLUMBUS, OH 43205
(614) 722-4200
1376847038 MARGARET CAREY RN
Individual
Registered Nurse (Pediatrics)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-6265
1932448248NATIONWIDE CHILDRENS HOSPITAL
Organization
Clinic/Center700 CHILDREN'S DRIVE NATIONWIDE CHILDRENS HOSPITAL
COLUMBUS, OH 43205
(614) 722-2000
1124333083 STACEY MICHELLE SMETZER CNP
Individual
Nurse Practitioner (Family)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-2350
1902238454 JAMIE JACKSON
Individual
Clinical Neuropsychologist700 CHILDREN'S DRIVE DEPARTMENT OF PSYCHOLOGY
COLUMBUS, OH 43205
(614) 722-4700
1215342464 CHRISTINE KOTERBA PHD
Individual
Psychologist700 CHILDREN'S DRIVE DEPARTMENT OF PSYCHOLOGY
COLUMBUS, OH 43205
(614) 722-4700
1235148958 LAURA M MACKNER PH.D
Individual
Psychologist700 CHILDREN'S DRIVE PSYCHOLOGY DEPARTMENT
COLUMBUS, OH 43205
(614) 722-4700
1881690824 WENDY KATHLEEN ANDERSON MD
Individual
Pediatrics700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-4950
1053318253 AMY MICHELE ARNETT MD
Individual
Pediatrics (Pediatric Emergency Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-4867
1427055524 JANE PENELOPE BALINT MD
Individual
Pediatrics (Pediatric Gastroenterology)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3450
1912904087 JOHN ALLMAN BARNARD MD
Individual
Pediatrics (Pediatric Gastroenterology)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3450
1932108123 WALLACE VERNON CRANDALL MD
Individual
Pediatrics (Pediatric Gastroenterology)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3450
1518959600 MARIA H ESTRADA DO
Individual
Pediatrics (Pediatric Critical Care Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3437
1881688893 KATHERINE MONTAGUE MIZELLE MD
Individual
Pediatrics (Pediatric Cardiology)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3100
1053390955 JAMES THADDEUS NAPRAWA MD
Individual
Pediatrics (Pediatric Emergency Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-4867
1649238973 PHILIP R MAUR MD
Individual
Pediatrics (Pediatric Emergency Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-4384
1396797031 RICHARD J BRILLI M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-3437
1013961036 GARY A SMITH MD
Individual
Pediatrics (Pediatric Emergency Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 355-2758
1386698298 JEFFREY MARC HOFFMAN MD
Individual
Pediatrics (Pediatric Emergency Medicine)700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
(614) 722-4867

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437287745, enumerated in the NPI registry as an "individual" on February 28, 2007

The provider is located at 700 Children's Drive Children's Hospital Columbus, Oh 43205 and the phone number is (614) 355-8000

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider has more than 25 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2001.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $166.65 with an average copayment of $41.66 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes and Telephone medical discussion with physician, 21-30 minutes.

This NPI record was last updated on February 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.