PAUL T. GUSTAFSON D.O.
NPI 1528033644
Surgery in Evanston, WY

Active since February 22, 2006PECOS Enrolled
196 ARROWHEAD DR, STE 9, EVANSTON, WY 82930(307) 783-8280 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul T. Gustafson D.o. NPPES

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

PAUL T. GUSTAFSON D.O. (NPI 1528033644) is an individual surgery provider in Evanston, Wyoming, licensed in Wyoming (TL#656) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528033644
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL T. GUSTAFSONCredential: D.O.
Location Address196 ARROWHEAD DR, STE 9Evanston, WY 82930-8752
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829 · (615) 465-7000
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 11, 2008
NPI 1528033644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WY · TL#656 Licensed in IA · 2894 Licensed in MI · 5101015864
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
196 ARROWHEAD DR, Evanston, WY 82930

Other Identifiers 4

Medicare UPINF96033
Medicare PINW20714WY
Other314100WY · Bcbs
Medicare PINP00451973WY

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 (PECOS)

Paul T. Gustafson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82930 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
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.

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.

Surgery
196 ARROWHEAD DR, SUITE 8
EVANSTON, WY 82930
Urology
196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930
Otolaryngology
196 ARROWHEAD DR, SUITE 5
EVANSTON, WY 82930
Nurse Practitioner (Family)
196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930
Surgery
196 ARROWHEAD DR, SUITE #8
EVANSTON, WY 82930
Family Medicine
196 ARROWHEAD DR, SUITE 1
EVANSTON, WY 82930
Clinic/Center (Hearing and Speech)
196 ARROWHEAD DR
EVANSTON, WY 82930
Family Medicine
196 ARROWHEAD DR, STE 1
EVANSTON, WY 82930

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 1528033644. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Paul Gustafson located?

Paul Gustafson practices at 196 Arrowhead Dr Ste 9, Evanston, WY 82930. The listed phone number is (307) 783-8280.

What is Paul Gustafson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Gustafson enrolled in Medicare?

Yes. Paul Gustafson is registered in the Medicare PECOS enrollment system.

What insurance does Paul Gustafson accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana 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 April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.