NPPES file of Aug 9, 2026

Thomas R. Gustafson, MD

Family Medicine Physician · Pine City, NY

Thomas R. Gustafson, MD is a family medicine physician with a practice address in Pine City, New York, and NPI 1720055528, issued on Mar 1, 2006. Check the license (New York 186217-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720055528
Name
Thomas R. Gustafson
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
186217-1 NY
MD042588L PA
Self-reported in NPPES; status is on the state search
Practice location
1243 Pennsylvania Ave, Pine City, NY 14871
Phone
(607) 734-3929
Enumerated
Mar 1, 2006
Record last updated
Jul 29, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(607) 734-0781
Medicaid IDs
0012479510001 PA
01255774 NY
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1243 Pennsylvania Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Armstrong, MDFamily Medicine Physician1679545651
  2. Andrea Herman, RPA-CPhysician Assistant1710118781
  3. Gangadhara Kabbli, MDCardiovascular Disease Physician1841337672
  4. Vincent Ladelia, MDCardiovascular Disease Physician1205938263
  5. William McClintic, D.O.Family Medicine Physician1285605766
  6. Leslie Rachlin, MDFamily Medicine Physician1588630305

Verify Thomas R. Gustafson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 186217-1    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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4 family medicine physician records list a practice address in Pine City

They are 4 of the 22 NPPES records with a practice address in Pine City, and 6,417 family medicine physician records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 4 in Pine City → All 6,417 in New York → Every provider in Pine City →

Other family medicine physician records in New York

  1. Alexandra AaronsGlens Falls, NY1417342361
  2. Stuart Aaronson, M.D.New York, NY1336513100
  3. Sharon Abara-Palaganas, MDBrooklyn, NY1952529158
  4. Daniel AbbeySyosset, NY1063867687
  5. Mary Claire Abbot, MDNew York, NY1215322383
  6. Heather Abdalla, FNP-CHorseheads, NY1164076907
  7. Higer Abdallah, NPPatchogue, NY1528662400
  8. Aya Abdelfattah, MBBCH, MPHSchenectady, NY1821676206
  9. Basil Abdeljaber, M.D.White Plains, NY1831354323
  10. Sarah Abdelsayed, MDBuffalo, NY1093065138

Common questions

What is Thomas R. Gustafson, MD's NPI number?

Thomas R. Gustafson, MD's National Provider Identifier (NPI) is 1720055528, issued on Mar 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Thomas R. Gustafson, MD located?

The NPPES record lists a practice address at 1243 Pennsylvania Ave, Pine City, NY, 14871. Phone: (607) 734-3929. Providers update this record themselves, so call before visiting.

How can I verify Thomas R. Gustafson, MD's license?

NPPES lists New York license number 186217-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.