ANDREW A GUSTAFSON MD
NPI 1568099885
Hospitalist in Chicago, IL
NPI Status: Active since March 25, 2020
Contact Information
251 E HURON ST STE 16-738
CHICAGO, IL
ZIP 60611
Phone: (312) 926-5924
Fax: (312) 926-6134
- Individual
- Male
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About ANDREW GUSTAFSON
This page provides the complete NPI Profile along with additional information for Andrew Gustafson, a provider established in Chicago, Illinois with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1568099885 assigned on March 2020. The practitioner's primary taxonomy code is 208M00000X with license number 036164504 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1568099885
- Provider Name
- ANDREW A GUSTAFSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 251 E HURON ST STE 16-738 CHICAGO, IL 60611
- Location Phone
- (312) 926-5924
- Location Fax
- (312) 926-6134
- Mailing Address
- 251 E HURON ST STE 16-738 CHICAGO, IL 60611
- Mailing Phone
- (312) 926-5924
- Mailing Fax
- (312) 926-6134
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2020
- Last Update Date
- 10-19-2023
- Code Navigator
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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036164504
- License State
- IL
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 1568099885 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrew Gustafson 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
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 60611 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* 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.
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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. | |||||||||
| 1 | 5 | 6 | 8 | 0 | 9 | 9 | 8 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 0 | 9 | 18 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 0 + 9 + 1 + 8 + 8 + 1 + 6 + 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 = 5 | 5 | ||||||||
The NPI number 1568099885 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 |
|---|---|---|---|
| 1336433697 | DR. MICHAEL ISAAC ELLENBOGEN M.D. Individual | Internal Medicine | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1669636288 | DR. THERESA H. RONAN M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1437538311 | KATHERINE WELTER M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1033504212 | DR. PETER SOOHOON PARK MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1912385998 | DR. ANDREW CHASE SCHLEUNING D.O. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1356738561 | DAVID GOESE MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1326380841 | DR. MICHAEL DAVID DONNAN MD Individual | Internal Medicine (Nephrology) | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1780038315 | DAVID YOUNG MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1235162413 | MARIANNE TSCHOE MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1124424882 | ELIZABETH A WALTERS PA-C Individual | Physician Assistant (Medical) | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1295149284 | DR. MICHELLE LYNN FLETCHER M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1659802270 | DR. FRANK GERALD AGUILAR M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1154841286 | ALI AHMED MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1699169631 | EMILY KAHN Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1063862985 | JEFFREY MERZ M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1669906038 | MS. GABRIELLE NAVON Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (847) 234-5600 |
| 1770012270 | SOPHIA KOROVAICHUK MD Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1669733945 | REZA SEDIGHI MANESH M.D. Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1710534755 | DIEGO RIVERA PA-C Individual | Physician Assistant | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
| 1861884405 | ELIZABETH WONG Individual | Hospitalist | 251 E HURON ST STE 16-738 CHICAGO, IL 60611 (312) 926-5924 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568099885, enumerated in the NPI registry as an "individual" on March 25, 2020
The provider is located at 251 E Huron St Ste 16-738 Chicago, Il 60611 and the phone number is (312) 926-5924
The provider's speciality is Hospitalist with taxonomy code 208M00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. 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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $138.86 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 25, 2020. 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].
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