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

Q: What is Thomas Gustafson's NPI number?

The NPI number for Thomas Gustafson is 1225253693. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Thomas Gustafson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gustafson was last updated on March 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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: October 18, 2026.

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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

Phone(651) 257-8499

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Gustafson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics

Same address

Primary Care

11725 STINSON AVE
Chisago City, MN 55013

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1912151101 (651) 257-8499

Fairview Express Care

7.7 mi

Specialist

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1346587805 (612) 365-5000

Fairview Health Services

7.7 mi

General Acute Care Hospital

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1083692941 (651) 982-7000

Healtheast Medical Research Institute

23 mi

Clinic/Center

1055 CENTERVILLE CIR
Vadnais Heights, MN 55127

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1639125503 (651) 326-5900

Fairview Specialty Services

33 mi

Point of Service

1700 UNIVERSITY AVE W
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
2,373 clinicians in this Medicare group

NPI 1912066218 (763) 525-9919

Winona Health Services

112 mi

General Acute Care Hospital

855 MANKATO AVE
Winona, MN 55987

Reassigned Medicare billing, Minnesota enrollment
330 clinicians in this Medicare group

NPI 1295789352 (507) 454-3650

Grand Itasca Clinic And Hospital

131 mi

General Acute Care Hospital

1601 GOLF COURSE RD
Grand Rapids, MN 55744

Reassigned Medicare billing, Minnesota enrollment
555 clinicians in this Medicare group

NPI 1669426631 (218) 326-3401

Range Regional Health Services

140 mi

General Acute Care Hospital

750 E 34TH ST
Hibbing, MN 55746

Reassigned Medicare billing, Minnesota enrollment
707 clinicians in this Medicare group

NPI 1356321699 (218) 262-4881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

97 services70 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.

48 services48 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.

37 services32 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

33 services33 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

32 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

30 services30 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

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

23 suppliers236 claims236 services$15.64 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

5 suppliers13 claims13 services$9.23 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers72 claims72 services$10.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

22 suppliers337 claims1,728 services$1.78 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

8 suppliers30 claims30 services$4.93 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

16 suppliers157 claims157 services$11.10 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.74 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers41 claims54 services$95.30 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers21 claims22 services$206.56 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers28 claims28 services$155.56 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers25 claims25 services$14.04 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers212 claims254 services$35.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers55 claims55 services$82.25 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 16

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

KARLA JEAN LIND CNP

Nurse Practitioner (Family)

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 674-4570

MRS. JESSICA RIA BABCOCK PA-C

Physician Assistant

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8499

KURT R PETERSON MD

Family Medicine

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8499

TERRY W KOPP MD

Family Medicine

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8499

KIM JOHNSON PT

Physical Therapist

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8458

TOTAL EYE CARE LLC

Eyewear Supplier

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-2842

STEVEN A ZIMMER OD

Optometrist

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8421

ROBERT PAUL POST MD

Family Medicine

11725 STINSON AVE
CHISAGO CITY, MN 55013

Chisago County (651) 257-8499

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 Thomas Gustafson's NPI number?

The NPI number for Thomas Gustafson is 1225253693. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Thomas Gustafson located?

Thomas Gustafson practices at 11725 Stinson Ave, Chisago City, MN 55013. The listed phone number is (651) 257-8499.

What is Thomas Gustafson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Thomas Gustafson enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gustafson reassigns Medicare benefits to 8 organizations: Fairview Clinics (Chisago City, MN), Fairview Express Care (Wyoming, MN), Fairview Health Services (Wyoming, MN), Healtheast Medical Research Institute (Vadnais Heights, MN), Fairview Specialty Services (Saint Paul, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Gustafson accept?

Health plans from HealthPartners and Sanford Health Plan list Thomas 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.

Is Thomas Gustafson affiliated with any hospitals?

According to CMS data, Thomas Gustafson is affiliated with University Medical Center-Mesabi/ Mesaba Clinics and Grand Itasca Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Gustafson was last updated on March 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.