Zachary R. Gustavison, PA-C
NPI 1316108970ActiveIndividual· Physician Assistant· Herrin, IL
Physician Assistant (PA-C) with Deaconess Illinois Specialty Clinic, Inc., practicing in Herrin, Illinois. 111 Medicare patients in 2024, $20,918 paid; nearly all of their 116 Part D prescriptions were generic (92%). Lists Deaconess Illinois Union County and 1 other hospital as hospital affiliations.
Overview
| NPI | 1316108970 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 17, 2008 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085-003467 | IL |
| Physician Assistant | 363A00000X | 5601005286 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 263 across 14 procedure codes |
| Paid by Medicare | $20,918 |
Part D prescriptions in 2024
| Prescriptions (claims) | 116 · 118 30-day fills |
|---|---|
| Patients | 69 |
| Total drug cost | $2,840 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Deaconess Illinois Specialty Clinic, Inc.Harrisburg, IL · 148 clinicians
Hospital affiliations
- Deaconess Illinois Union CountyAnna, IL
- Heartland Regional Medical CenterMarion, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Herrin
- 1033224654
- 1215042833
- 1245229111
- 1245288802
- 1386716884
- 1396859328
- 1477668093
- 1477673747
- 1497869440
- 1518636489
- 1780790386
- 1841307014
All 29 physician assistants in Herrin · All physician assistants in Illinois