Mark Leroy Gustafson, D.O.
NPI 1851667000ActiveIndividual· Emergency Medicine· Charleston, WV
Emergency Medicine (D.O.) in Charleston, West Virginia, trained at Lincoln Memorial University Medical Department (class of 2012). Mostly services rather than prescriptions: Medicare paid $13,173 for 134 patients in 2024, with only 30 Part D claims. Sumitomo Pharma America, Inc. reported $20.55 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1851667000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 31, 2012 |
| Last updated in NPPES | Dec 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 2723 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 134 |
|---|---|
| Services billed | 138 across 9 procedure codes |
| Paid by Medicare | $13,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 30 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $224.55 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Lincoln Memorial University Medical Department |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Emergency Medicine |
Medical group
- Charleston Area Medical Center IncCharleston, WV · 985 clinicians
Hospital affiliation
- Charleston Area Medical CenterCharleston, WV
Industry payments (Open Payments)
- 2024$20.55 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Sumitomo Pharma America, Inc. | $20.55 | 1 |
What the 2024 payments were for
- Food and Beverage$20.55 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 77 emergency medicine physicians in Charleston · All emergency medicine physicians in West Virginia