GAYL L GUSTAFSON MD
NPI 1164496246
Family Medicine in Saint Paul, MN

Active since February 15, 2006PECOS Enrolled
205 WABASHA ST S, SAINT PAUL, MN 55107(952) 853-8800 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gayl L Gustafson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYL L GUSTAFSON MD (NPI 1164496246) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (26173) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164496246
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGAYL L GUSTAFSONCredential: MD
Location Address205 WABASHA ST SSaint Paul, MN 55107-1805
Mailing Address8170 33rd Ave S # 21110qMinneapolis, MN 55425-4516
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 15, 2020
NPPES CertifiedApril 15, 2020
NPI 1164496246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 26173
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 WABASHA ST S, Saint Paul, MN 55107

Other Identifiers 1

Medicaid275019800MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gayl L Gustafson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Orthopaedic Surgery
205 WABASHA ST S
SAINT PAUL, MN 55107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gayl Gustafson's NPI number?

The NPI number for Gayl Gustafson is 1164496246. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Gayl Gustafson located?

Gayl Gustafson practices at 205 Wabasha St S, Saint Paul, MN 55107. The listed phone number is (952) 853-8800.

What is Gayl Gustafson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gayl Gustafson enrolled in Medicare?

Yes. Gayl Gustafson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gayl Gustafson was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.