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CRAIG S. GUSTAFSON M.D.
NPI 1780660845
Family Medicine in Harvard, MA

Active since December 21, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 22D0914368 · Waiver
233 AYER RD, HARVARD, MA 01451(978) 772-0698(978) 772-0024 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig S. Gustafson M.d. NPPES

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

CRAIG S. GUSTAFSON M.D. (NPI 1780660845) is an individual family medicine provider in Harvard, Massachusetts, licensed in Massachusetts (153873) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 22, 2027, and is affiliated with Umass Memorial Healthalliance Hospitals.

NPPES Registry Identity

NPI1780660845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRAIG S. GUSTAFSONCredential: M.D.
Location Address233 AYER RDHarvard, MA 01451-1131
Mailing Address233 Ayer RdHarvard, MA 01451-1131 · (978) 772-0698 · Fax (978) 772-0024
Phone(978) 772-0698
Fax(978) 772-0024
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1995
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1780660845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 153873
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
233 AYER RD, Harvard, MA 01451
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Other Identifiers 1

Medicaid3190994MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Craig S. Gustafson M.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.

PECOS PAC ID9335030048
PECOS Enrollment IDI20040323000355
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0914368

Craig S Gustafson MD LLC · Harvard, MA
Active · expires May 22, 2027
CLIA Number22D0914368
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorCraig S. Gustafson
Laboratory Phone(978) 772-0698
Laboratory LocationCraig S Gustafson MD LLC233 Ayer Rd Ste 10, Harvard, MA 01451
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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 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.
539 services241 patients
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.
334 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
240 services240 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
235 services235 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
66 services65 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
64 services40 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01451 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers35 claims70 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$1.17 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims975 services$0.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers23 claims23 services$31.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers22 claims22 services$78.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers19 claims56 services$28.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

CAROL S.SAVAGE MD
Family Medicine
233 AYER RD
HARVARD, MA 01451
Worcester County (978) 772-7225
JENNIFER LEE MSW
Social Worker
233 AYER RD
HARVARD, MA 01451
Worcester County (413) 627-8150
HARVARD NUTRITION COUNSELING
Dietitian, Registered
233 AYER RD
HARVARD, MA 01451
Worcester County (978) 273-9524
ELAINE HOLT FNP
Family Medicine
233 AYER RD
HARVARD, MA 01451
Worcester County (978) 772-0698
JEFFREY G RESNICK DPM PC
Podiatrist (Foot Surgery)
233 AYER RD, SUITE 5
HARVARD, MA 01451
Worcester County (978) 772-4115
JENNIFER BUCHHOLZ
Nurse Practitioner (Family)
233 AYER RD
HARVARD, MA 01451
Worcester County (978) 772-0698
SUZANNE LUCAS RNCS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
233 AYER RD, SHAKER PLACE SUITE 2
HARVARD, MA 01451
Worcester County (978) 772-2670
REBEKAH A DONELAN RD
Dietitian, Registered
233 AYER RD, SUITE 5B
HARVARD, MA 01451
Worcester County (978) 273-9524

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 Craig Gustafson's NPI number?

The NPI number for Craig Gustafson is 1780660845. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Craig Gustafson located?

Craig Gustafson practices at 233 Ayer Rd, Harvard, MA 01451. The listed phone number is (978) 772-0698.

What is Craig Gustafson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Gustafson enrolled in Medicare?

Yes. Craig 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.

Does Craig Gustafson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0914368) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Craig Gustafson accept?

Health plans from Anthem Blue Cross and Blue Shield list Craig 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 Craig Gustafson affiliated with any hospitals?

According to CMS data, Craig Gustafson is affiliated with Umass Memorial Healthalliance Hospitals, Massachusetts Eye And Ear Infirmary -, Emerson Hospital -, Beth Israel Deaconess Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Craig Gustafson was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.