ERIC GUSTAFSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1316470255

ERIC GUSTAFSON (DPM) is a healthcare provider. based in Denver, Colorado. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 262794 (KY). The NPI Number for ERIC GUSTAFSON (DPM) is 1316470255

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ERIC GUSTAFSON (DPM)
NPI
1316470255
Phone
Not provided
Address
1005 CLERMONT STREET -112
Enumeration Date
7 April 2017
Last Update Date
7 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5027973338
Graduation Year
2017 (9 years ago)
PAC ID
9133523277
Group Practice PAC ID
6507012432
Professional Enrollment ID
I20210811001490
Address ID
KY401657467SH1905XLNXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

257 PODIATRY in CO

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Provider Addresses for ERIC GUSTAFSON (DPM)

  • Clermont Street, Denver, Denver County, Colorado, 80262, United States

    VA MEDICAL CENTER - DENVER

    DENVER, CO 80220

    Phone:

    Type: Mailing

  • 1005, Clermont Street, Denver, Denver County, Colorado, 80220, United States

    112

    DENVER, CO 80220

    Phone: (303) 399-8020

    Type: Location

  • 6801 DIXIE HWY STE 134

    LOUISVILLE, KY 402583952

    Phone: (502) 447-4500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $6,292.

Total Amount is formed as General ($6,292) + Research ($0) + Ownership ($0) = $6,292.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medline Industries LP ($1,905).

Total Amount

$6,292

General + Research + Ownership

Payments

116

Total payment records

General Amount

$6,292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210811001490IPodiatryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails25099$0
99213Established patient office or other outpatient visit, 20-29 minutes11984$0
99203New patient office or other outpatient visit, 30-44 minutes8585$0
99212Established patient office or other outpatient visit, 10-19 minutes5746$0
73630X-ray of foot, minimum of 3 views5543$0
View full utilization report →

Insurance plans in this area (ZIP 80220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507012432View full group profile
NameSpecialtyState
P O D I A T R YKY
P O D I A T R YKY

Reviews

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Frequently asked questions

How is ERIC GUSTAFSON (DPM) identified in CMS data?
CMS-hosted NPPES data lists ERIC GUSTAFSON (DPM) with NPI 1316470255.
Does CMS list ERIC GUSTAFSON (DPM) as active?
Yes — ERIC GUSTAFSON (DPM) is active in the NPI listing used on this page.
What is ERIC GUSTAFSON (DPM)'s specialty?
The listing groups ERIC GUSTAFSON (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for ERIC GUSTAFSON (DPM)?
ERIC GUSTAFSON (DPM)'s geographic hint is Denver, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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