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KIMARA LINELL GUSTAFSON M.D., M.P.H
NPI 1992949721
Pediatrics in Minneapolis, MN

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
717 DELAWARE ST SE STE 353, MINNEAPOLIS, MN 55414(612) 624-1164(612) 625-2920 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimara Linell Gustafson M.d., M.p.h NPPES

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

KIMARA LINELL GUSTAFSON M.D., M.P.H (NPI 1992949721) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (53893) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1992949721
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMARA LINELL GUSTAFSONCredential: M.D., M.P.H
Location Address717 DELAWARE ST SE STE 353Minneapolis, MN 55414-2959
Mailing Address3304 22nd Ave SMinneapolis, MN 55407-5161
Phone(612) 624-1164
Fax(612) 625-2920
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009
Enumeration DateApril 23, 2009
Last NPPES UpdateDecember 23, 2019
✔ NPI 1992949721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 53893
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
717 DELAWARE ST SE STE 353, Minneapolis, MN 55414
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Kimara Linell Gustafson M.d., M.p.h 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 ID6204082050
PECOS Enrollment IDI20251015004452
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 55414 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

JOSE ROMEO VILLARREAL CALDERON
Student in an Organized Health Care Education/Training Program
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 624-9444
LINDSAY JURIGA MD
Pediatrics
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 626-3761
ALLISON R AMLIE PA-C
Physician Assistant (Medical)
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 625-5115
AARON ACKERMAN MD
Student in an Organized Health Care Education/Training Program
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 626-3761
MICHAEL JOHN GILLEO MD
Student in an Organized Health Care Education/Training Program
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 624-9444
BRIDGET ANTHIA LERMAN MD, MPH
Student in an Organized Health Care Education/Training Program
717 DELAWARE ST SE STE 353
MINNEAPOLIS, MN 55414
Hennepin County (612) 626-3761

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 Kimara Gustafson's NPI number?

The NPI number for Kimara Gustafson is 1992949721. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Kimara Gustafson located?

Kimara Gustafson practices at 717 Delaware St SE Ste 353, Minneapolis, MN 55414. The listed phone number is (612) 624-1164.

What is Kimara Gustafson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimara Gustafson enrolled in Medicare?

Yes. Kimara 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 Kimara Gustafson accept?

Health plans from Medica list Kimara 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 Kimara Gustafson was last updated on December 23, 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.