Paul T. Gustafson, D.O.
NPI 1528033644ActiveIndividual· Surgery· Evanston, WY
Surgery (D.O.) in Evanston, Wyoming, licensed in WY, IA and MI, with an NPI issued in February 2006. Part D covered 31 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1528033644 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Apr 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | TL#656 | WY |
| Surgery | 208600000X | 2894 | IA |
| Surgery | 208600000X | 5101015864 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 89 30-day fills |
|---|---|
| Total drug cost | $4,509 |
| Generic share | 87% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Evanston
- 1447217377
- 1003081522
- 1619237625
- 1255562690
- 1144328949
- 1710970058
- 1902126824
- 1841391349