2026 NPPES data Gynecology Physician NPI 1134108756 MD
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MARK GUSTAFSON, MD

Gynecology Physician in SALEM, Virginia. 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
1K
Medicare Part D claims · 276 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$280.28
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK GUSTAFSON, MD is a Gynecology Physician ([object Object]) practicing in SALEM, Virginia with a Medicare Part D prescribing footprint of 1K claims across 276 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $280.28 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK GUSTAFSON, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,087 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK GUSTAFSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARK GUSTAFSON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2006

NPI 1134108756

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

1,087 268% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Gynecology Physician compares to other specialties among Virginia providers

Virginia providers

Gynecology Physician share within Virginia

1. Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecology Physician share within Virginia

Medicare quality performance — MIPS

MARK GUSTAFSON, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Gynecology Physician) — 100/100 vs national avg 83.1

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).

MARK GUSTAFSON, MD is a Gynecology Physician provider practicing in SALEM, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134108756. 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.

MARK GUSTAFSON, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 1802 BRAEBURN DR, SALEM, VA, 24153, with a listed phone of (540) 772-3520. NPI 1134108756 was issued on 01/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUSTAFSON 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 1,087 prescription claims written by this provider, covering 276 Medicare beneficiaries and totaling roughly $104K in drug spend, split 16% brand-name and 84% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

1802 BRAEBURN DR
SALEM, VA 24153

Provider Details

NPI 1134108756
Specialty Gynecology Physician
Credentials MD
Gender Male
NPI Issued 01/12/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MARK GUSTAFSON, MD. Source: openpaymentsdata.cms.gov.

Total received

$280

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

MARK GUSTAFSON, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,087 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.

1,087
Total Claims
$104K
Total Drug Cost
276
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,972
Total Day Supply
54,103
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$76K
Generic Drug Cost
$28K
Antibiotic Claims
76

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
0.89
Gender Split
100% female / 0% male
Age Distribution
<65: 50, 65-74: 117, 75-84: 88, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
172
Alendronate Sodium
112
Oxybutynin Chloride Er
Oxybutynin Chloride
70
Triamcinolone Acetonide
52
Acyclovir
49
Fluconazole
48
Myrbetriq
Mirabegron
39
Medroxyprogesterone Acetate
35
Betamethasone Valerate
31
Gemtesa
Vibegron
29

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

Gynecology Physician Overview

How MARK GUSTAFSON, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

MARK GUSTAFSON, MD's 1,087 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Virginia

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

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK GUSTAFSON, MD's specialty?
MARK GUSTAFSON, MD specializes in Gynecology Physician and practices in SALEM, Virginia. Credentials: MD.
How much does MARK GUSTAFSON, MD prescribe under Medicare Part D?
In 2023, MARK GUSTAFSON, MD wrote 1,087 Medicare Part D claims totaling $104K in drug costs for 276 beneficiaries.
What is MARK GUSTAFSON, MD's Medicare quality score?
MARK GUSTAFSON, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK GUSTAFSON, MD located?
MARK GUSTAFSON, MD is located at 1802 BRAEBURN DR, SALEM, VA, 24153. Phone: (540) 772-3520.
What is MARK GUSTAFSON, MD's NPI number?
MARK GUSTAFSON, MD's National Provider Identifier (NPI) is 1134108756, issued on 01/12/2006.
Does MARK GUSTAFSON, MD prescribe more brand-name or generic drugs?
MARK GUSTAFSON, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $76K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does MARK GUSTAFSON, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK GUSTAFSON, MD's most frequently prescribed drugs include Estradiol, Alendronate Sodium, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK GUSTAFSON, MD accept Medicare?
MARK GUSTAFSON, MD appears in CMS Medicare data with 1,087 Part D claims and 276 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK GUSTAFSON, MD's credentials?
MARK GUSTAFSON, MD's NPI is 1134108756 with credentials MD. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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