PAUL RUSSELL GUSTAVSON PA-C
NPI 1295754752
Physician Assistant in Eureka, CA

Q: What is Paul Gustavson's NPI number?

The NPI number for Paul Gustavson is 1295754752. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Paul Gustavson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Gustavson was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 18, 2006PECOS EnrolledAccepts Medicare Assignment

2826 HARRIS ST, EUREKA, CA 95503(707) 443-8066(707) 268-3250 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2021, Feb 15, 2021 (2 updates tracked since 2021).

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About Paul Russell Gustavson Pa-c NPPES

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

PAUL RUSSELL GUSTAVSON PA-C (NPI 1295754752) is an individual physician assistant in Eureka, California, licensed in California (PA17059) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295754752

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePAUL RUSSELL GUSTAVSONCredential: PA-C

Location Address2826 HARRIS STEureka, CA 95503-4809

Mailing Address2826 Harris StEureka, CA 95503-4809 · (707) 443-8066 · Fax (707) 268-3250

Phone(707) 443-8066

Fax(707) 268-3250

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 18, 2006

Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1295754752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA17059

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2826 HARRIS ST, Eureka, CA 95503

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Other Identifiers 1

Medicaid0PA170590CA

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

Paul Russell Gustavson Pa-c 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 ID1254223902

PECOS Enrollment IDI20040326001042

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 2

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.

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.

567 services508 patients

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.

179 services171 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95503 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 15

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

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