DR. MICHAEL J GUSTAVEL (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1306842182
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
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Provider Addresses for DR. MICHAEL J GUSTAVEL (MD)
1188, West University Drive, Boise, Ada County, Idaho, 83706, United States
BOISE, ID 837063009
Phone: (208) 336-8250
Fax: (208) 345-9514
Type: Mailing
West Fairview Avenue, Boise, Ada County, Idaho, 83713, United States
BOISE, ID 837025121
Phone: (208) 850-1641
Type: Location
1188 University Dr
Boise, ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $2,678.
Total Amount is formed as General ($2,678) + Research ($0) + Ownership ($0) = $2,678.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Arthrex, Inc. ($1,046).
Total Amount
$2,678
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,046 |
| Stryker Corporation | $811 |
| Sawtooth Surgical Solutions Inc | $638 |
| Kerecis Limited | $103 |
| Smith+Nephew, Inc. | $81 |
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: 2004-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040309000323 | I | Orthopedic Surgery | ID | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,132 | 76 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 161 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 97 | $0 |
| 73564 | X-ray of knee, 4 or more views | 84 | 70 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
Insurance plans in this area (ZIP 83706)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | ID | 73562 | X-ray of knee, 3 views | 13 | 12 |
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