Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Mark Leroy Gustafson, DO

Individual provider Emergency Medicine Physician · NPI 1851667000

Dr. Mark Leroy Gustafson, DO practises Emergency Medicine in Charleston, West Virginia. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
WV
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3110 Maccorkle Ave SE
Charleston, WV 25304-1210
Phone: (304) 388-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2723 (WV)

Record details

NPI number1851667000
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2012
Last updated in NPPESDecember 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients134
Services billed 138 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Charleston Area Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 968 clinicians in the practice; 12 are shown here.

Other providers in Charleston