GEORGE C GUSTAFSON (M.D.) – Cardiovascular Disease Physician, NPI 1689669483
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
498 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CO
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Provider Addresses for GEORGE C GUSTAFSON (M.D.)
Memorial Hospital Central, 1400, East Boulder Street, Divine Redeemer, Colorado Springs, El Paso County, Colorado, 80909, United States
STE 700
COLORADO SPRINGS, CO 809095533
Phone: (719) 365-9950
Fax: (719) 365-9969
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($62).
Total Amount
$87
General + Research + Ownership
Payments
2
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $62 |
| Hologic Sales and Service, LLC | $25 |
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: 2005-08-09
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050809000062 | I | Cardiovascular Disease (Cardiology) | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 420 | 351 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 335 | 264 | $0 |
| 93307 | Ultrasound of heart | 293 | 277 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 163 | 163 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 162 | 162 | $0 |
Insurance plans in this area (ZIP 80909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 225 | 224 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CO | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 55 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| Physician Assistant | CO | |
| - | CO | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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