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Tesha Gustafson, O.D.

NPI 1467807230ActiveIndividual· Optometrist· Kenmare, ND

Optometrist (O.D.) in Kenmare, North Dakota, trained at Pacific University - College of Optometry (class of 2016). In 2024 Medicare paid $38,100 for 373 patients, and Part D covered 296 of their prescriptions, 31% of them generic.

Overview

NPI1467807230
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedApr 29, 2016
Last updated in NPPESFeb 4, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X745ND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (ND)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients373
Services billed699 across 15 procedure codes
Paid by Medicare$38,100

Part D prescriptions in 2024

Prescriptions (claims)296 · 370 30-day fills
Patients87
Total drug cost$31,557
Generic share31% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year2016
Medicare specialtyOptometry

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in Kenmare

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