CAITLIN J. GUSTAFSON MD
NPI 1295764405
Family Medicine in Mccall, ID
About Caitlin J. Gustafson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAITLIN J. GUSTAFSON MD (NPI 1295764405) is an individual family medicine provider in Mccall, Idaho, licensed in Idaho (M9146) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted 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
Caitlin J. Gustafson Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Caitlin Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mccall, ID 83638
- Reassigned Medicare billing, Idaho enrollment
- 39 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Mccall
Critical Access Hospitals · Mccall, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Caitlin Gustafson's NPI number?
The NPI number for Caitlin Gustafson is 1295764405. It was assigned to this individual provider in the NPPES registry on July 1, 2006.
Where is Caitlin Gustafson located?
Caitlin Gustafson practices at 211 Forest St, Mccall, ID 83638. The listed phone number is (208) 634-2225.
What is Caitlin Gustafson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Caitlin Gustafson enrolled in Medicare?
Yes. Caitlin 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 organization bills Medicare for Caitlin Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Gustafson reassigns Medicare benefits to St Lukes Clinic - Mccall LLC (Mccall, ID). The 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 Caitlin Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caitlin Gustafson accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Caitlin 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 Caitlin Gustafson affiliated with any hospitals?
According to CMS data, Caitlin Gustafson is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Mccall.
When was this NPI record last updated?
The NPPES record for Caitlin Gustafson was last updated on August 2, 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.
# Caitlin J. Gustafson, MD · NPI 1295764405
Family Medicine physician in Mccall, Idaho. Individual provider, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1295764405 (Entity type: Individual)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** M9146 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 FOREST ST, Mccall, ID 83638
- **Phone:** (208) 634-2225 · **Fax:** (208) 634-5547
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic - Mccall LLC (NPI 1881982510, Mccall, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2003
## Record status
- **NPPES last updated:** August 2, 2012
- **Other identifiers:** Other 76664 (ID); Medicare UPIN I66627 (ID); Other B6157 (ID); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295764405) · Data from the CMS NPPES public registry.