JOHN L GUSTAVSON PH.D.
NPI 1720068059
Clinical Neuropsychologist in Grand Junction, CO
About John L Gustavson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN L GUSTAVSON PH.D. (NPI 1720068059) is an individual clinical neuropsychologist in Grand Junction, Colorado, licensed in Colorado (PSY.0000987) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fruita, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
John L Gustavson Ph.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.
Medicare Billing Reassignments
2Medicare enrollment records show John Gustavson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Junction, CO 81501
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Grand Junction, CO 81507
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1861496697 (Colorado)
- 104 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 4
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND JUNCTION, CO 81501
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 John Gustavson's NPI number?
The NPI number for John Gustavson is 1720068059. It was assigned to this individual provider in the NPPES registry on January 20, 2006.
Where is John Gustavson located?
John Gustavson practices at 2530 N 8th St Suite 204, Grand Junction, CO 81501. The listed phone number is (970) 245-3505.
What is John Gustavson's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is John Gustavson enrolled in Medicare?
Yes. John Gustavson 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 John Gustavson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gustavson reassigns Medicare benefits to 2 organizations: Psychological Associates Of Western Co. P.C. (Grand Junction, CO) and Lower Valley Hospital Association (Grand Junction, CO). 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 John Gustavson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Gustavson accept?
Health plans from Oscar Insurance Company list John Gustavson 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 John Gustavson was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# John L Gustavson, PH.D. · NPI 1720068059
Clinical Neuropsychologist provider in Grand Junction, Colorado. Individual provider, active in the CMS NPPES registry since January 20, 2006.
## Identity
- **NPI:** 1720068059 (Entity type: Individual)
- **Enumerated:** January 20, 2006
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** PSY.0000987 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2530 N 8TH ST, SUITE 204, Grand Junction, CO 81501-8857
- **Phone:** (970) 245-3505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Psychological Associates Of Western Co. P.C. (NPI 1033233176, Grand Junction, CO); Lower Valley Hospital Association (NPI 1194323832, Grand Junction, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** October 30, 2019
- **Other identifiers:** Medicaid 07987001 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1720068059) · Data from the CMS NPPES public registry.