JOHN G GUSTAFSON (MD) – Interventional Cardiology Physician, NPI 1992777437
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 INTERVENTIONAL CARDIOLOGY in MI
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Provider Addresses for JOHN G GUSTAFSON (MD)
1722, Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States
SUITE 1
KALAMAZOO, MI 490481633
Phone: (269) 381-3963
Fax: (269) 381-2809
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 31 Open Payments records for all available years, with a total value of $1,512.
Total Amount is formed as General ($1,512) + Research ($0) + Ownership ($0) = $1,512.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Inari Medical, Inc. ($328).
Total Amount
$1,512
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,512
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $328 |
| Edwards Lifesciences Corporation | $133 |
| Boston Scientific Corporation | $133 |
| ABIOMED | $99 |
| Abbott Laboratories | $90 |
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: 2005-08-20
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 |
|---|---|---|---|---|
| I20050820000105 | I | Interventional Cardiology | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 902 | 569 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 426 | 399 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 298 | 243 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 178 | 173 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 169 | 167 | $0 |
Insurance plans in this area (ZIP 49048)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | MI | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 79 | 62 |
| INTERVENTIONAL CARDIOLOGY | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1017 | 699 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| - | MI | |
| - | IN | |
| Gastroenterology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| N E U R O L O G Y | MI | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | MI | |
| Family Practice | MI | |
| N E U R O L O G Y | GA |
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