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DR. PAUL L. GUSTAFSON O.D.
NPI 1184666422
Optometrist in Casper, WY

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
543 S DAVID ST, CASPER, WY 82601(307) 237-9494(307) 237-1370 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul L. Gustafson O.d. NPPES

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

DR. PAUL L. GUSTAFSON O.D. (NPI 1184666422) is an individual optometrist in Casper, Wyoming, licensed in Wyoming (267T) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2000).

NPPES Registry Identity

NPI1184666422
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL L. GUSTAFSONCredential: O.D.
Location Address543 S DAVID STCasper, WY 82601-3196
Mailing Address543 S David StCasper, WY 82601-3196 · (307) 237-9494 · Fax (307) 237-1370
Phone(307) 237-9494
Fax(307) 237-1370
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1184666422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WY · 267T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
543 S DAVID ST, Casper, WY 82601
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Other Identifiers 3

Medicare UPINU82025WY
Medicare ID-Type UnspecifiedW4502373WY
Medicaid115863500WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul L. Gustafson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991710907
PECOS Enrollment IDI20060213000552
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
870 services728 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
370 services300 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
269 services217 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
207 services192 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
155 services118 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
127 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82601 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.8
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%63 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. DAVID R. CARLSON O.D.
Optometrist
543 S DAVID ST
CASPER, WY 82601
Natrona County (307) 237-9494
DR. CHRISTOPHER A LOE O.D.
Optometrist
543 S DAVID ST
CASPER, WY 82601
Natrona County (307) 237-9494
DR. MAXWELL GUSTAFSON OD
Optometrist
543 S DAVID ST
CASPER, WY 82601
Natrona County (307) 237-9494

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 Paul Gustafson's NPI number?

The NPI number for Paul Gustafson is 1184666422. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Paul Gustafson located?

Paul Gustafson practices at 543 S David St, Casper, WY 82601. The listed phone number is (307) 237-9494.

What is Paul Gustafson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Gustafson enrolled in Medicare?

Yes. Paul Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Gustafson accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Paul Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Gustafson was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.