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Jacqueline Jeanette Carter Gustafson, MD

NPI 1023209632ActiveIndividual· Surgery· Cleveland, TN

Surgery (MD) in Cleveland, Tennessee, trained at Loma Linda University School of Medicine (class of 2005). Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery. Spr Therapeutics, Inc was the largest of 6 companies reporting payments in 2025, $274.27 in all, mostly food and beverage.

Overview

NPI1023209632
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedAug 8, 2007
Last updated in NPPESAug 20, 2024
Certified by providerAug 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XMD67660TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Surgery (CA); Practitioner - General Surgery (TN)

Medicare sources and data years

Education and affiliations

Medical schoolLoma Linda University School of Medicine
Graduation year2005
Medicare specialtyGeneral Surgery

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$274.27 · 8 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$274.27 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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