THOMAS PAUL GUSTAFSON M.D.
NPI 1225253693
Family Medicine - Sleep Medicine in Chisago City, MN

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
11725 STINSON AVE, CHISAGO CITY, MN 55013(651) 257-8499 Get Directions Write a Review

NPPES record last updated: March 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Paul Gustafson M.d. NPPES

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

THOMAS PAUL GUSTAFSON M.D. (NPI 1225253693) is an individual sleep medicine provider in Chisago City, Minnesota, licensed in Minnesota (49732) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1225253693
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameTHOMAS PAUL GUSTAFSONCredential: M.D.
Location Address11725 STINSON AVEChisago City, MN 55013-9542
Mailing Address490 Owasso Hills DrRoseville, MN 55113-2153 · (612) 759-3476
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 11, 2012
NPI 1225253693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License Licensed in MN · 49732
Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 49732 (MN)
11725 STINSON AVE, Chisago City, MN 55013

Accepted 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

Thomas Paul Gustafson M.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 ID4082797360
PECOS Enrollment IDI20080208000514
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
40 services38 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
29 services24 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
28 services28 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
25 services24 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
22 services22 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55013 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.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers249 claims249 services$33.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers134 claims134 services$72.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers138 claims283 services$27.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers134 claims505 services$14.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers58 claims262 services$12.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers200 claims200 services$46.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Family Medicine
11725 STINSON AVE
CHISAGO CITY, MN 55013
Specialist/Technologist (Athletic Trainer)
11725 STINSON AVE
CHISAGO CITY, MN 55013
Speech-Language Pathologist
11725 STINSON AVE
CHISAGO CITY, MN 55013
Physician Assistant
11725 STINSON AVE
CHISAGO CITY, MN 55013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225253693, enumerated as an "individual" on April 13, 2007.

The provider is located at 11725 STINSON AVE CHISAGO CITY, MN 55013 and the phone number is (651) 257-8499.

Family Medicine with taxonomy code 207QS1201X and a focus in Sleep Medicine.

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Thomas Gustafson is affiliated with: UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS and GRAND ITASCA CLINIC AND HOSPITAL.