2026 NPPES data Plastic Surgery Physician NPI 1548426315 M.D.
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MADELEINE GUST, M.D.

Plastic Surgery Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
80
Medicare Part D claims · 35 beneficiaries · Plastic Surgery Physician avg: 84
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MADELEINE GUST, M.D. is a Plastic Surgery Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 80 claims across 35 beneficiaries — 15% brand-name prescribing .

What stands out: MADELEINE GUST, M.D. filed 80 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MADELEINE GUST, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MADELEINE GUST, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/31/2008

NPI 1548426315

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

80 5% vs specialty avg

2023 prescription claims

Specialty avg: 84

Specialty distribution in Illinois

How Plastic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Plastic Surgery Physician share within Illinois

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MADELEINE GUST, M.D. is a Plastic Surgery Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548426315. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MADELEINE GUST, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 675 N SAINT CLAIR ST, CHICAGO, IL, 60611, with a listed phone of (312) 695-6022. NPI 1548426315 was issued on 07/31/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUST most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 80 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $13K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 27.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

675 N SAINT CLAIR ST
CHICAGO, IL 60611

Provider Details

NPI 1548426315
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 07/31/2008

Hospital and facility affiliations

Facilities where MADELEINE GUST, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
ONTARIO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MADELEINE GUST, M.D.. To verify MADELEINE GUST, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MADELEINE GUST, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 80 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

80
Total Claims
$13K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
82
Total Day Supply
1,299
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$13K
Generic Drug Cost
$737
Opioid Claims
22 (27.5% rate)

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
1.44
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Meloxicam
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery Physician Overview

How MADELEINE GUST, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

MADELEINE GUST, M.D.'s 80 claims are below the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as GUST.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MADELEINE GUST, M.D.'s specialty?
MADELEINE GUST, M.D. specializes in Plastic Surgery Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does MADELEINE GUST, M.D. prescribe under Medicare Part D?
In 2023, MADELEINE GUST, M.D. wrote 80 Medicare Part D claims totaling $13K in drug costs for 35 beneficiaries.
Where is MADELEINE GUST, M.D. located?
MADELEINE GUST, M.D. is located at 675 N SAINT CLAIR ST, CHICAGO, IL, 60611. Phone: (312) 695-6022.
What is MADELEINE GUST, M.D.'s NPI number?
MADELEINE GUST, M.D.'s National Provider Identifier (NPI) is 1548426315, issued on 07/31/2008.
Does MADELEINE GUST, M.D. prescribe more brand-name or generic drugs?
MADELEINE GUST, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $13K in brand drug costs.
Does MADELEINE GUST, M.D. prescribe opioids?
Yes, MADELEINE GUST, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 27.5%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does MADELEINE GUST, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MADELEINE GUST, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MADELEINE GUST, M.D. accept Medicare?
MADELEINE GUST, M.D. appears in CMS Medicare data with 80 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MADELEINE GUST, M.D.'s credentials?
MADELEINE GUST, M.D.'s NPI is 1548426315 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology