NPI Details
L Mark Gustafson, M.D. is an otolaryngology in Carrollton, GA with 30 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. L Mark Gustafson, M.D. NPI is 1073555629. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
150 CLINIC AVE
SUITE 201
CARROLLTON, GA
ZIP 30117-401
Phone: (770) 832-1488
The NPI 1073555629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to assess middle ear function (HCPCS:92567)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- X-ray of paranasal sinus, 1-2 views (HCPCS:70210)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
- Removal of impacted ear wax (HCPCS:69210)
- Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of chest, 2 views (HCPCS:71046)
- X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
The enumeration date for this NPI number is 6/11/2006 and was last updated on 7/18/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | 049795 | GEORGIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 841043 | OTHER | GEORGIA | BLUE CROSS CLUE SHIELD |
| 2 | 00906463C | MEDICAID | GEORGIA | |
| 3 | 00906463B | MEDICAID | GEORGIA | |
