Peter Josef Gust
Dermatology โข Manor, TX
14008 Shadowglen Blvd Ste 200
Manor, TX 786533406
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 20, 2017; this date does not establish years in practice.
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Published CMS data list 1,215 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 โ Destruction of precancer skin growth, 2-14 growths: 538 service units.
- 99213 โ Established patient outpatient office visit: 190 service units.
- 17000 โ Destruction of precancer skin growth, 1 growth: 153 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 445 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Triamcinolone Acetonide โ 75 prescription fills, including refills.
- Ketoconazole โ 70 prescription fills, including refills.
- Fluocinonide โ 62 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Dermatology in Texas (2024, 827 clinicians with data). Median for this group: 2,195. Middle half: 1,085 to 4,742.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 149 in 2021 to 1,215 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
14008 Shadowglen Blvd Ste 200
Manor, TX 786533406
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Southwest Skin And Vein Center Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Loma Linda University School Of Medicine
2021
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
209 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $67,585 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $45,886 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
485 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$201,164 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $300.54 across 14 records.
By nature of payment
- Food and Beverage: $300.54 across 14 records.
Reporting-company totals (3 largest of 8)
- UCB, Inc.: $99.86 across 4 records.
- LEO Pharma Inc.: $54.54 across 3 records.
- Sanofi and Genzyme US Companies: $37.37 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Peter Gust has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Peter Gust as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Manor and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Dermatology in Texas (2024, 827 clinicians with data). Median for this group: 2,195. Middle half: 1,085 to 4,742.
Too few clinicians listed under Dermatology in Manor have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Dermatology in Texas (2024, 827 clinicians with data). Median for this group: $135,212. Middle half: $65,517 to $291,099.
Too few clinicians listed under Dermatology in Manor have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Dermatology in Texas (2024, 827 clinicians with data). Median for this group: $95,715. Middle half: $45,692 to $209,369.
Too few clinicians listed under Dermatology in Manor have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Dermatology in Texas (2024, 922 clinicians with data). Median for this group: 486. Middle half: 202 to 949.
Too few clinicians listed under Dermatology in Manor have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Dermatology in Texas (2024, 922 clinicians with data). Median for this group: $81,547. Middle half: $6,986 to $226,319.
Too few clinicians listed under Dermatology in Manor have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Dermatology with a practice address in Manor, TX (1,173 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 715% from 149 in 2021 to 1,215 in 2024.
- 2021: 149
- 2022: 1,340
- 2023: 1,193
- 2024: 1,215
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Medicare-allowed amount
Medicare-allowed amount increased 912% from $6,677 in 2021 to $67,585 in 2024.
- 2021: $6,677
- 2022: $74,154
- 2023: $70,586
- 2024: $67,585
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Paid by Medicare
Paid by Medicare increased 759% from $5,341 in 2021 to $45,886 in 2024.
- 2021: $5,341
- 2022: $54,334
- 2023: $50,495
- 2024: $45,886
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 81% from 246 in 2022 to 445 in 2024.
- 2022: 246
- 2023: 330
- 2024: 445
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30-day fills
30-day fills increased 95% from 249 in 2022 to 485 in 2024.
- 2022: 249
- 2023: 344
- 2024: 485
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Part D drug cost
Part D drug cost increased 335% from $46,205 in 2022 to $201,164 in 2024.
- 2022: $46,205
- 2023: $352,352
- 2024: $201,164
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $94.43 in 2021 to $300.54 in 2025.
- 2021: $94.43
- 2022: $91.20
- 2023: $277.78
- 2024: $858.92
- 2025: $300.54
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 14 records totaling $300.54.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $33.75 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $32.18 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $30.02 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $29.01 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $25.94 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $22.52 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $19.70 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $17.67 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $16.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $15.66 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TALTZ | General | $15.53 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $14.43 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $14.17 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $13.81 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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538 | 81 | $13.76 | $6.93 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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190 | 132 | $184.70 | $93.71 |
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17000
Destruction of precancer skin growth, 1 growth
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153 | 100 | $139.14 | $55.76 |
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11102
Biopsy of related skin growth, first growth
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90 | 75 | $206.91 | $95.23 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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70 | 54 | $260.27 | $130.62 |
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17110
Destruction of skin growth, 1-14 growths
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55 | 40 | $235.40 | $121.64 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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41 | 41 | $225.90 | $114.65 |
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11103
Biopsy of related skin growth, each additional growth
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31 | 21 | $102.87 | $53.45 |
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17004
Destruction of precancer skin growth, 15 or more growths
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19 | 16 | $343.68 | $177.44 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $337.28 | $174.06 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 12 | $115.43 | $59.71 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Triamcinolone Acetonide | Triamcinolone Acetonide | 75 | 2,180 | $1,026.49 | 46 |
| Ketoconazole | Ketoconazole | 70 | 1,949 | $1,468.25 | 42 |
| Fluocinonide | Fluocinonide | 62 | 1,897 | $2,783.16 | 32 |
| Dupixent Pen | Dupilumab | 50 | 1,400 | $188,663.84 | โ |
| Metronidazole | Metronidazole | 39 | 1,209 | $1,968.08 | 18 |
| Clindamycin Phosphate | Clindamycin Phosphate | 30 | 885 | $1,248.30 | 15 |
| Hydrocortisone | Hydrocortisone | 22 | 674 | $194.63 | 15 |
| Clobetasol Propionate | Clobetasol Propionate | 22 | 780 | $872.07 | 11 |
| Gabapentin | Gabapentin | 18 | 1,064 | $138.58 | โ |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 16 | 322 | $141.61 | 14 |
| Azelaic Acid | Azelaic Acid | 16 | 480 | $1,705.96 | โ |
| Mupirocin | Mupirocin | 13 | 286 | $90.18 | โ |
| Tretinoin | Tretinoin | 12 | 360 | $863.34 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-07-19NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - DERMATOLOGY
I20210727002907
TX
0840693933
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Southwest Skin And Vein Center Pllc
14008 Shadowglen Blvd, Manor, TX 786533406
Phone: 5124447208
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Dermatology - MOHS-Micrographic Surgery
Doctor of Medicine (M.D.)
Dermatology
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 14008 SHADOWGLEN BLVD STE 200, MANOR, TX 786533406 (Tel: 5124447208)
Registered at 4419 FRONTIER TRL STE 110, AUSTIN, TX 787451567 (Tel: 5124447208)
Dermatology (license number reported to NPPES: TX T1087)
Registered at 25865 BARTON RD STE 101, LOMA LINDA, CA 923543896 (Tel: 9095582890)
Registered at 25865 BARTON RD STE 101, LOMA LINDA, CA 923543896
NPI status registered as active in NPPES database
Registered at 4445 MAGNOLIA AVE, RIVERSIDE, CA 925014135 (Tel: 9517883000)
Registered at 4445 MAGNOLIA AVE, RIVERSIDE, CA 925014135
Recorded as PETER GUST
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
4419 Frontier Trl Ste 110
Austin, TX 787451567
Phone: 5124447208