HEATHER GUSTAFSON (PA-C) – Physician Assistant, NPI 1538541883
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for HEATHER GUSTAFSON (PA-C)
1400 COMPUTER DR STE 301
WESTBOROUGH, MA 015811790
Phone: (617) 420-5316
Type: Location
123 Summer St
Worcester, MA 016081216
Phone: (764) 364-3083
Type: Location
10 Dorrance St Ste 700
Providence, RI 029032014
Phone: (833) 229-0957
Type: Location
14 Prospect St
Milford, MA 017573003
Phone: (508) 473-1190
Fax: (508) 482-5416
Type: Location
14 CYPRESS ST
OXFORD, MA 015402418
Phone: (774) 364-3083
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-04-06
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 |
|---|---|---|---|---|
| I20160406002157 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 76 | 76 | $0 |
Insurance plans in this area (ZIP 01581)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | MA | |
| Orthopedic Surgery | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA |
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