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Deactivated NPI 1851448617 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Frederick Gustavson , MD

General Practice • Epping, NH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Gustavson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2007
NPI Deactivation Date February 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Gustavson, MD was a registered General Practice practicing in Epping, NH. Throughout an active medical career spanning 17 years, Dr. Gustavson provided care at the practice location at 133 MAIN ST until profile deactivation on 2024-02-28.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

133 Main St

Epping, NH 030422428

Telephone 6036792266
Fax 6036795692
Associated Practice Facility / Clinic
🏢 Melissa Potter Licsw Facility NPI 1952039281

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Epping, NH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Epping, NH (20 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
168 62 $155.00 $68.22

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NH 5045

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active June 03, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2008

Registered at 133 MAIN ST, EPPING, NH 030422428 (Tel: 6036792266)

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Updated Business Mailing Address June 03, 2008

Registered at 133 MAIN ST, EPPING, NH 030422428 (Tel: 6036792266)

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Provider Name / Credentials Updated June 03, 2008

Recorded as PAUL GUSTAVSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

General Practice (License #5045 in NH)

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Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851448617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: June 03, 2008
Deactivation Date: February 28, 2024

Mailing Address

133 Main St

Epping, NH 030422428

Phone: 6036792266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.