Dr. Mark Leroy Gustafson, DO

  • Charleston, WV
  • Emergency medicine physician
NPI1851667000PAC ID8729204045
Medicare services, 2024
130
Medicare patients, 2024
134
Part D claims, 2024
30
Publications
5
Clinical trials
1
Practice address
501 Morris Street, Charleston, WV 25301
Practice phone
Call (304) 388-5432
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Charleston Area Medical Center General Hospital

Hospital · Charleston, West Virginia

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Dr. Mark Leroy Gustafson is an emergency medicine physician in Charleston, West Virginia

Dr. Gustafson practices at Charleston Area Medical Center General Hospital in Charleston, West Virginia, part of Vandalia Health.

Dr. Gustafson's NPI, 1851667000, was assigned on March 31, 2012. Dr. Gustafson graduated from Lincoln Memorial University Medical Department in 2012. Dr. Gustafson holds West Virginia license 2723.

NPI and contact details
Medicare PAC ID
8729204045
NPI enumeration date
March 31, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(304) 388-5432
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
40
Medical school graduation
2012

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Mark Leroy Gustafson practices at Charleston Area Medical Center General Hospital in Charleston, West Virginia

Dr. Gustafson's primary practice is Charleston Area Medical Center General Hospital, at 501 Morris Street, Charleston, WV 25301 in Kanawha County. The practice phone is (304) 388-5432.

Source: Dmand AI Affiliation Data

Dr. Mark Leroy Gustafson is affiliated with 2 sites of care and 1 medical group

Dr. Gustafson's primary practice is Charleston Area Medical Center General Hospital in Charleston, West Virginia, part of Vandalia Health. The medical group on file is Charleston Area Medical Center. Dmand AI also links Dr. Gustafson to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. Gustafson

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Mark Leroy Gustafson's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Gustafson practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Charleston Area Medical Center General HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Mark Leroy Gustafson is one of 433 emergency medicine physicians in West Virginia

Emergency medicine is Dr. Gustafson's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Gustafson is licensed in West Virginia.

Specialties and state licenses

  • Emergency medicine, West VirginiaPrimaryLicense 2723 · taxonomy 207P00000X

Emergency medicine physicians near Dr. Gustafson

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Mark Leroy Gustafson billed Medicare for 130 services in 2024

CMS data shows 130 Medicare services from Dr. Gustafson across 3 procedure codes in 2024, for 134 Medicare patients. Medicare paid $12,665 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024130
Medicare patients134
Paid by Medicare$12,665
Procedure codes3

Dr. Gustafson's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1062024: 13023%

Dr. Gustafson compared with the West Virginia median for emergency medicine physicians, 2024

  • Dr. Gustafson
  • West Virginia median
Medicare services
130vs 23645% below
Medicare patients
134vs 22440% below
Part D claims
19vs 7474% below

Medians across 424 emergency medicine physicians in West Virginia with Dmand AI profiles that report each measure.

Dr. Gustafson's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Gustafson

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Gustafson and other emergency medicine physicians in West Virginia.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Mark Leroy Gustafson treated 134 Medicare patients in 2024, average age 73

CMS counts 134 Medicare patients who saw Dr. Gustafson in 2024. The largest group is 65 to 74, with 53 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 28% are also on Medicaid. Their average risk score is 2.21, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Gustafson's median patient age at 59, with 52% women.

Medicare patients, 2024134
Average age73
Average risk score2.21
Also on Medicaid28%

Dr. Gustafson's Medicare patients by age, 2024

Dr. Gustafson's Medicare patients by sex, 2024

  • Women6246%
  • Men7254%

Chronic conditions among Dr. Gustafson's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease63%
  4. Arthritis56%
  5. Chronic kidney disease46%
  6. Diabetes45%
  7. Atrial fibrillation44%
  8. COPD44%

Share of Medicare patients with each condition. A patient can have several.

Dr. Gustafson's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 59

Patient panel by sex, all payers

  • Women52%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Mark Leroy Gustafson wrote 30 Medicare Part D claims in 2024

In 2024, Dr. Gustafson wrote 30 Medicare Part D claims for 19 patients. 93% of them were for generic drugs. CMS names the drug for 19 of them, across 1 drug with 11 or more claims each, at $74 in total drug cost. In 2018, CMS named 26 claims across 1 drug.

Part D claims, 202430
Drugs named by CMS1
Total drug cost$74
Part D patients19

Dr. Gustafson's Part D claims by kind of drug, 2024

  • Generic28 claims93%
  • Brand-name and other2 claims7%

Dr. Gustafson's most prescribed drugs by claims, 2019

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2018 to 2019

  • 2018
  • 2019
Claims for drugs CMS names
2018: 262019: 1927%

Drugs named by CMS: 1 in 2019, 1 in 2018.

See all prescribing by Dr. Gustafson

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Mark Leroy Gustafson scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Gustafson for performance year 2024, reported through an alternative payment model (APM). Dr. Gustafson accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Gustafson's MIPS scores, performance year 2024

  • 91of 100Final score
  • 69.7of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Mark Leroy Gustafson has 5 publications on record

Dmand AI links 5 papers to Dr. Gustafson, published from 2015 to 2020. 2018 was the busiest year, with 2. Dr. Gustafson has published most often in Am J Emerg Med. Dr. Gustafson's most frequent co-authors are Jerry L. Edwards, DO, Leon S. Kwei, MD and Leslie Michael Peterson, DO.

Papers5
Years published2015 to 2020

Dr. Gustafson's papers by year, 2015 to 2020

Dr. Gustafson's most frequent co-authors

Recent publications by Dr. Gustafson

See all 5 publications and co-authors

See who Dr. Gustafson researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Gustafson works with, so you can find a warm path to the right emergency medicine physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Mark Leroy Gustafson has worked on 1 clinical trial

Dmand AI links Dr. Gustafson to 1 clinical trial. Conditions studied include Pneumonia and Respiratory Tract Infections.

Conditions in Dr. Gustafson's trials

  • Pneumonia
  • Respiratory Tract Infections

Investigators on the most trials with Dr. Gustafson

Recent clinical trials with Dr. Gustafson

Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)

Dr. Mark Leroy Gustafson received $190 in industry payments from 2021 to 2024

CMS Open Payments shows 4 general payments to Dr. Gustafson from 4 drug and device companies from 2021 to 2024. Food and beverage make up the largest share, 100% of the total. Vapotherm Inc paid the most, $81.

General payments to Dr. Gustafson by program year, 2021 to 2024

Companies that paid Dr. Gustafson the most, 2021 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Gustafson

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Mark Leroy Gustafson graduated from Lincoln Memorial University Medical Department

Dr. Gustafson graduated from Lincoln Memorial University Medical Department in 2012.

  1. Medical schoolLincoln Memorial University Medical Department

Source: Dmand AI Professional Profile Data

Sources for Dr. Mark Leroy Gustafson's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Mark Leroy Gustafson

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Mark Leroy Gustafson's NPI number?

Dr. Mark Leroy Gustafson's NPI number is 1851667000. It was assigned on March 31, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Mark Leroy Gustafson?

Dr. Mark Leroy Gustafson is an emergency medicine physician in Charleston, West Virginia. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Mark Leroy Gustafson practice?

Dr. Gustafson practices at 501 Morris Street, Charleston, WV 25301. Dr. Gustafson's primary practice is Charleston Area Medical Center General Hospital in Charleston, West Virginia, part of Vandalia Health. Dmand AI also links Dr. Gustafson to 1 group practice or clinic.

What is Dr. Mark Leroy Gustafson's office phone number?

The practice phone on file for Dr. Gustafson is (304) 388-5432.

What is Dr. Mark Leroy Gustafson's medical license number?

Dr. Gustafson holds West Virginia license 2723.

Which hospitals is Dr. Mark Leroy Gustafson affiliated with?

Dr. Gustafson practices at Charleston Area Medical Center General Hospital in Charleston, West Virginia.

What medical group is Dr. Mark Leroy Gustafson part of?

Dr. Gustafson is linked to Charleston Area Medical Center.

Does Dr. Mark Leroy Gustafson accept Medicare?

Yes. CMS data shows Dr. Gustafson billed Medicare for 130 services in 2024, and Dr. Gustafson accepts Medicare assignment.

What is Dr. Mark Leroy Gustafson's MIPS score?

Dr. Gustafson's MIPS final score for performance year 2024 is 91 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Mark Leroy Gustafson see?

CMS counts 134 Medicare patients who saw Dr. Gustafson in 2024, with an average age of 73.

Show 7 more questionsShow fewer questions

What services does Dr. Mark Leroy Gustafson bill to Medicare?

In 2024, Dr. Gustafson's most billed Medicare services were emergency department visit (99284), emergency department visit (99283) and emergency department visit (99285).

Where did Dr. Mark Leroy Gustafson go to medical school?

Dr. Gustafson graduated from Lincoln Memorial University Medical Department in 2012.

What drugs does Dr. Mark Leroy Gustafson prescribe most?

In 2019 Medicare Part D data, Dr. Gustafson's most prescribed drugs by claims were Hydrocodone-Acetaminophen.

Has Dr. Mark Leroy Gustafson received payments from drug or device companies?

CMS Open Payments shows $190 in general payments to Dr. Gustafson from 4 companies from 2021 to 2024. The largest total came from Vapotherm Inc.

How long has Dr. Mark Leroy Gustafson been practicing?

Dr. Gustafson graduated from medical school in 2012, 14 years ago.

Does Dr. Mark Leroy Gustafson do research?

Dmand AI links 5 publications to Dr. Gustafson, published from 2015 to 2020. Dr. Gustafson has worked on 1 clinical trial.

Who does Dr. Mark Leroy Gustafson publish with?

Dr. Gustafson's most frequent co-authors are Jerry L. Edwards, DO (1 shared paper), Leon S. Kwei, MD (1 shared paper) and Leslie Michael Peterson, DO (1 shared paper).

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