DR. MAXWELL GUSTAFSON OD
NPI 1720581333
Optometrist in Casper, WY

Active since March 10, 2018PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
543 S DAVID ST, CASPER, WY 82601(307) 237-9494 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2018, Mar 10, 2018 (2 updates tracked since 2018).

About Dr. Maxwell Gustafson Od NPPES

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

DR. MAXWELL GUSTAFSON OD (NPI 1720581333) is an individual optometrist in Casper, Wyoming, licensed in Wyoming (423T) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2018).

NPPES Registry Identity

NPI1720581333
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MAXWELL GUSTAFSONCredential: OD
Location Address543 S DAVID STCasper, WY 82601
Mailing Address543 S David StCasper, WY 82601-3196 · (307) 237-9494
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2018
Enumeration DateMarch 10, 2018
Last NPPES UpdateJune 13, 20182 updates tracked since enumeration
NPI 1720581333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WY · 423T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
543 S DAVID ST, Casper, WY 82601

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 and accepts Medicare assignment

Dr. Maxwell Gustafson Od 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 ID6800143918
PECOS Enrollment IDI20180720000933
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 13

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.
675 services540 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
292 services264 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
137 services127 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.
102 services102 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.
100 services89 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
98 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82601 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.8
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Optometrist
543 S DAVID ST
CASPER, WY 82601
Optometrist
543 S DAVID ST
CASPER, WY 82601
Optometrist
543 S DAVID ST
CASPER, WY 82601

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 Maxwell Gustafson's NPI number?

The NPI number for Maxwell Gustafson is 1720581333. It was assigned to this individual provider in the NPPES registry on March 10, 2018.

Where is Maxwell Gustafson located?

Maxwell Gustafson practices at 543 S David St, Casper, WY 82601. The listed phone number is (307) 237-9494.

What is Maxwell Gustafson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Maxwell Gustafson enrolled in Medicare?

Yes. Maxwell 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.

What insurance does Maxwell Gustafson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Providence Health Plan and UnitedHealthcare list Maxwell 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 Maxwell Gustafson was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.